What the Payroll Cyber-Attack Means for SHARE Members

As you have probably heard, the hospital’s timekeeping system is down because Kronos has been hit by a large-scale ransomware attack. The hospital temporarily requires all employees to submit their time manually.  

This week, UMass Memorial is paying everyone the same amount they got paid last week. That’s going to be wrong for some people. Please be mindful about your personal spending, particularly if you suspect that the hospital has overpaid you. If you are overpaid, you’re going to have to return the extra.

  • The hospital directs that if you worked different shifts the week of 11/28/21 – 12/4/21 than you did the week of 12/5/21 – 12/11/21 or you believe your pay is wrong, then you should send an email to KronosIncident@umassmemorial.org and include:

    • Your name

    • Your employee ID

    • Your manager’s name

    • A short description of the problem

  • If you are paid too much, you will have to return the extra.

  • If you are paid too little, the hospital will fix it.

The Boston Globe reports that the attack has affected thousands of organizations, including Target, Staples, Stop & Shop, Whole Foods, the city of Springfield, and the MBTA. “The company [Kronos] said that the outage could last several weeks,” the article states.  

Continuing information will come from UMass Memorial. Here’s a copy of their latest email, which includes more details and answers to some frequently asked questions: 

*** 

From: Robin Sodano, Chief Information Officer and Brian Huggins, Senior Vice President, Finance & Corporate Controller 

To: Medical Center Caregivers 

Date: December 14, 2021 

Subject: Update 3- URGENT Payroll & Time Tracking Information  
  

Kronos, our hours tracking and scheduling software vendor, suffered a cyberattack this past weekend, which left UMass Memorial temporarily unable to access and process payroll normally for the foreseeable future. The following important updates apply to all employees, both exempt/salaried and non-exempt/hourly: 

  • We are planning to issue payroll, as scheduled, on Thursday.  

  • However, because we cannot access Kronos data, we need to use hours that were reported for the week of 11/28/21 – 12/4/21 for this week’s payroll. Once payroll is issued, we will work to rectify any inaccuracies that may exist. 

  • While most employees will receive accurate pay, we do anticipate that there will be some unavoidable inaccuracies.  

  • Any employee who worked different shifts the week of 11/28/21 – 12/4/21 than they did the week of 12/5/21 – 12/11/21 or does not receive accurate pay this Thursday is asked to email KronosIncident@umassmemorial.org with their name, employee ID, manager and short description of the discrepancy.   

Because Kronos expects that this outage to last for several weeks, we are working to create an easier time tracking process. Until further notice, however, please continue to  

  • Print copies of the attached time tracking form (now in Word format.) 

  • Accurately record your time and turn in the form at the end of each shift to your supervisor (or in a location designated by your supervisor.)  

  • Managers will collect these timesheets and store in a safe place until further direction is provided.  

  • All employees must continue to swipe in/out of Kronos as normal in addition to filling out the manual timecards.  

We have also compiled an FAQ below to better address your concerns. If you have questions or concerns that are not addressed, please do not hesitate to email KronosIncident@umassmemorial.org or leave a voicemail on our recorded line (#508-334-1500) and someone will get back to you as soon as possible.  Please know that we are doing everything we can to ensure that all caregivers receive accurate pay and are committed to working with you to ensure that this inconvenience is mitigated over the coming weeks.  

  

Kronos/Payroll FAQ 

How will I get paid?  
A.) Despite Kronos being offline, we are still going to process payroll on Thursday, December 16th. However, to issue payroll this week we will rely on hours that were reported for the week of 11/28/21 – 12/4/21. This means that if you worked the exact same number of hours the week of 11/28/21-12/4/21 as you did the week of 12/5/21-12/11/21, you should expect to receive the same paycheck this week as you did last week.   

  

What if someone worked different hours last week than they did the week before? 
A.) We are going to work with impacted employees to ensure we accurately pay our caregivers.  If an employee’s hours last week (12/5/21 – 12/11/21) were different than the week of 11/28/21 – 12/4/21, your pay may be impacted. If this is the case, UMass Memorial has established an email box (KronosIncident@umassmemorial.org) and recorded line (# 508-334-1500) to capture this information and to begin the process of making corrections. Please include your name, employee ID, manager name and brief description of your situation.  

  

Can managers report this information on behalf of employees? 
A.) Yes, managers can report payroll issues to the email box or phone number on behalf of their employees. For each employee, please include the employee’s name, ID, manager name and brief description of their situation. 

  

When will payroll inaccuracies be remedied?  
A.) We recognize the importance of this issue to our caregivers and are going to work to remediate discrepancies as soon as we can.  It is imperative that employees alert UMass Memorial discrepancies – providing their name, employee ID, manager name, and brief description of the situation – as soon as they are identified so we can work with managers to validate correct amounts owed.  

  

I can’t afford to not receive a full paycheck, especially this time of year. What will you do to help? 
A.) We are doing everything possible to ensure that you and other affected employees receive an accurate and timely paycheck each week despite the sudden and unexpected loss of our payroll software.  It is critical that you assist us in this process by completing your timesheet accurately, reviewing your timesheet with your supervisor if necessary, and reporting any potential discrepancy you may find in your paycheck as soon as possible, as is explained above. 

  

What if a check I wrote bounces because I did not receive the correct amount of pay? 
A.) UMass Memorial will cover the fees incurred with the bounced check as a result of this inconvenience. We will provide more details on this at a later time. 

  

What do I do if my paid time off bank is inaccurate? 
A) We will rectify any paid time off inaccuracies when the system is operational and we have ensured everyone received the correct pay. We will have further updates on this in subsequent communications.  

  

Do I have to keep swiping in and using the manual timecard?  
A.) Yes, it may be several weeks before we can return to normal, but to expedite a speedy return to normal operations when it is possible, we need everyone to continue swiping in/out and filling out paper timecards.  Unfortunately, in the near term, UMass Memorial is reliant on its vendor to resolve this situation before normal payroll operations can resume.  

  

If this was a cyber-attack, was any personal information compromised?  
A.) We do not believe that there are any privacy risks to our employees at this time because very little personal information was stored within Kronos. The UMass Memorial Privacy Department is aware of this situation, and Kronos is working with legal authorities to conduct a thorough investigation into how the attack took place and who may be responsible.  If the Privacy Department determines that personal information was breached, you will be notified.  

  

How do managers sign off on last week’s payroll?  
A.) No one can access Kronos, so it is impossible to access the system to sign off on payroll. There is nothing for managers to do at this time.  

  

Can managers view last week’s payroll to ensure accuracy? 
A.) No. We cannot access any data in Kronos right now. That’s why we are using the hours from the week of 11/28/21 – 12/4/12.  

  

Do providers, APPs, and other exempt employees need to fill out paper timecards? 
A.) Yes. All employees must fill out paper timecards. 

  

Do staff need to submit paper timecards for last week?  
A: If staff could not successfully swipe out on Saturday night/Sunday morning, they need to do a paper timecard for that shift. Otherwise, all other staff do not need to do a paper timecard for last week.  

  

I need to make adjustments to last week’s payroll.  
A: Adjustments cannot be made as we do not have access to any data within Kronos. This will be done retroactively when the system is operational.   

  

I have a question about scheduling. 
A: All scheduling questions should be sent to KronosSchedulingAdmin@umassmemorial.org

How should travelers submit their time? 
A: They should use our paper timecards right now until directed otherwise. 

What about employees who were on vacation last week? 
A: If employees did not work their normal hours last week, please ask them to email KronosIncident@umassmemorial.org or call 508-334-1500 to let us know when they did work. We will then confirm that information with their manager. Managers can also submit this information behalf of employees. 

Can we use an email equivalent to the PDF form for our remote workers? 
A: Yes, attached is a word document version that can be completed electronically.  

What do managers do with the timecards? 
A: Hold on to them until further instruction is provided. 

 

 

12/21/21 update: The latest directive from the hospital for dealing with pay issue states “if there is a discrepancy in your pay, please either:

  1. Fill out the Kronos Incident Help Desk Form. You do not need to be logged in to the UMass Memorial network to access this. Using this form will enable us to respond more quickly to your issue; or

  2. If you can’t access the form, you can still email kronosincident@umassmemorial.org or call 508-334-1500. In both cases, you must leave your full name, employee ID number, manager’s name and an explanation of your pay discrepancy.”

Share Members Participate in Effort to Improve Patient Experience on the Floors

Pictured from left to right are Betsy (patient experience), Jacqueline (Unit Secretary), Sharon (PCA), Janice (unit secretary), Will (partnership office), Delia (Unit Secretary), Kona Enders (PCA and new SHARE organizer), Harriet (PCA), Deb (SHARE organizer) and William (PCA)

On December 7th, ten SHARE members (primarily PCAs and unit secretaries) took part in a half day retreat to learn about and improve the experience of our patients on the Med Center’s inpatient floors.  Our patients and their families have reported through their HCAHPS surveys that often despite providing them with care that is great in many ways, we disappoint them in three particular areas: responsiveness to call lights and toileting needs, quiet at night, and communicating with them about potential side effects of their medications.  At the event, SHARE members (along with a few dozen other UMMMC caregivers) divided up into three teams to review the data, read patient comments, tell stories from their own experience of what works and what doesn’t.  They then brainstormed and prioritized root causes that can make it hard to meet these patient needs, and then brainstormed and selected interventions that might make it easier meet these needs despite the staffing and volume challenges we face.

SHARE member Kona Enders says the retreat included important discussion about things that need to be done. “When we put improvements in process, there needs to be follow up,” she said. “Bedside rounding, equipment organization, those things need to be consistent and sustained.”

“It was a great event,” adds SHARE Organizer Deb Engvall. “It’s always a good thing to get workers together with people from different areas and levels, brainstorming ideas that effect their daily work and coming up with solutions that could impact patient-satisfaction and employee-satisfaction. The patients’ frustrations are frustrations for the workers too. It’s a win-win. And fun!”

On December 13th leaders from the Patient Experience team will report out to Dr Gustafson on the plans our members helped to craft, and later this Winter the Med Center will begin to implement those plans.

 

Happy Thanksgiving

Happy Thanksgiving! SHARE would like to wish you a very happy time. We’re grateful for your participation in our union and for all the many ways you work to nurture our community. We’re thankful for and inspired by the ways that you’ve met the challenges we’ve seen in recent months, and by how you continue to make sure patients are well cared for, even on this holiday. We hope you have a rejuvenating weekend, filled with warmth and good food and family.

Sincerely,

the SHARE organizing staff

UMass Memorial Highlights New Volunteer Opportunities

Please note this new batch of volunteering opportunities as described by UMass Memorial’s Anchor Mission Program

Note that participants are able to get rewards from the hospital for volunteering, including up to 250 MyHealthMatters points

anchor mission service opportunities

"Everybody can be great. Because anybody can serve. You don’t have to have a college degree to serve. You don’t have to make your subject and your verb agree to serve. You don’t have to know the second theory of thermodynamics in physics to serve. You only need a heart full of grace. A soul generated by love.”
~ Martin Luther King, Jr.

 

We know UMass Memorial Health is full of caregivers with hearts full of grace.  Just check out the UMatter platform to see some of the volunteer awards we send out weekly.

The holiday season is a wonderful time to spend with family and friends. It is also a great time to reflect and think about those who are less fortunate. Any of the service opportunities listed here will help improve the health of our patients outside the walls of our hospitals and doctor offices.  Bonus: They also are guaranteed to produce joy for the caregivers who volunteer.

Do you have more ideas of where caregivers can find service opportunities? Go to Innovation Station, enter your idea, align it to “Community” strategic goal, and/or escalate it to the Anchor Mission Team.

Service Opportunities:

Worcester Adult Learning Center
The Worcester Adult Learning Center (WALC) is looking for workforce members to hold mock-interviews with its students to advise them on the career related fundamentals of the interview process and help navigate them through the hiring process. The first session of interviews will be on Thursday, December 9th, 9:30-12pm for day students. Approximately 40 students will be able participate in the interviews. There are also students on Tuesday and Thursday nights, 5:30-8:00 pm and WALC can coordinate another session for the evening students as well. If interested, please email ummhvolunteerism@umassmemorial.org.

United Way of Central Massachusetts
The United Way of Central Massachusetts 2021 Holiday Wish List includes volunteer opportunities and donation drive opportunities.

“VaxAbilities” Disability-Friendly COVID-19 Vaccine Events
The goal of these events is to support people with sensory and/or other accommodation needs in Massachusetts to have the most positive and comfortable vaccination experience possible. This will be accomplished by bringing in clinicians with sensory training to partner with vaccinating clinicians, physical tools to assist with numbing and distraction, strategies for positioning and distraction, and the assistance of volunteers to help with logistics and engagement. Most events will offer vaccines to both children and adults. Organizers are seeking:

1.   Sensory-trained clinicians who will partner with vaccine-administrating clinicians to understand and use strategies to support the sensory needs and accommodations children or adults may have through the vaccination process (paid or volunteer)

2.   Pediatricians on site to answer parent and child questions about the COVID19 vaccine (paid or volunteer)

3.   Volunteers that can help direct visitors, help engage children as they wait for vaccines, hand out distractor items/toys, assist with vaccine station cleaning and collect survey responses, etc.  Sign up here.

For both clinicians and volunteers, assignments will be confirmed after you complete the information tool in link. More information is available at www.VaxAbilities.com.
 
Abby’s House
They provide safe, affordable housing for woman and children, they have 72 single room supportive housing units and 7 2-bedroom units for woman and children in 3 locations in Worcester. They are currently at capacity and have a waiting list for new tenants. They have a wish list on their website Donation drop offs must be coordinated with their Volunteer Coordinator.

St. John’s Pantry/Food for the Poor
Donations for the food pantry are always welcome. There is also a list on their website of non-food items that are always needed. Groups of volunteers must be organized through the Director. Small groups can volunteer to feed the homeless for a morning or evening.

Net of Compassion
Volunteers can volunteer at Hotel Grace, Grace Closet, Grace Pantry, Meals on Main Street & Joshua’s Showers. These can all be found on their volunteering page. They always welcome food, clothes and other non-food donations for Hotel Grace, Grace Closet & Grace Pantry. They have a wish list on their website of all items that are needed.

Interested in signing up for a volunteering event?

Check out our ongoing opportunities on the Hub. This list is updated monthly. Review the complete list.

Would you like us to help you set up a volunteering opportunity?

We’d be happy to help you, or your department set up a volunteering activity! Email us and let us know how we can help.

Remember to Spread the Word!

Help us spread the word and remember to bring up Anchor Mission at your next huddle! New volunteers can learn more and register here.

This Week: Managing Holiday Stress and Protecting Community Hospitals

Ask Your Legislator to Protect Community Hospitals

State House to Vote Today! Thank you to everyone who send a letter to their state legislators about the Mass General Brigham expansion. We have just learned that there is a vote TODAY about a new law that would protect community hospitals by making sure that in the future proposals like MGB’s get closer scrutiny. The Coalition to Protect Community Care is asking us to send a quick note to our State Rep – again, it’s totally quick and easy to do. Learn more. To contact your legislators, just click here:

Managing Stress During the Holiday Season

SHARE recently received the following information from UMass Memorial. We hope it can help make this holiday season a little bit happier. The event is free and open to all UMass Memorial employees . . .

HOLIDAY STRESS STARTING TO CREEP IN?

Join us this Friday, noon to 1 pm, for a live webinar hosted by our Optum EAP that will help us identify the biggest causes of holiday stress, find coping strategies that promote well-being, practice setting realistic expectations, and plan to approach the holidays differently this year. Read the full post.

Make Self-Care count

There’s Still Time to Earn 2021 myHealth Matters Incentives! Benefits-eligible employees: With the myHealth Matters portal closing December 7, time’s running out to earn your next reward level. Don’t forget to claim points for any activities you completed this year. Remember, 3,000 points in the portal earns you a $300 Health Reimbursement Account deposit, so start logging those activities today! Learn more.

Send a Quick Message to Protect Community Hospitals

State House to Vote Today! Thank you to everyone who send a letter to their state legislators about the Mass General Brigham expansion. We have just learned that there is a vote TODAY about a new law that would protect community hospitals by making sure that in the future proposals like MGB’s get closer scrutiny. The Coalition to Protect Community Care is asking us to send a quick note to our State Rep – again, it’s totally quick and easy to do. Just click here:

Here are a couple of articles about it:

https://www.patriotledger.com/story/news/2021/11/07/rep-mariano-file-bill-protect-community-hospitals/6331341001/

https://www.wgbh.org/news/politics/2021/11/04/speaker-mariano-wants-to-save-local-hospitals-stronger-oversight-over-health-care-chains-expansion-is-how-he-wants-to-do-it

 

 

Here’s what the letter says that you would be sending to your State Rep:

As the state seeks to enhance the market review process for healthcare provider expansions, I would like to express my support of H.4253 and respectfully ask that you vote in favor of passing the bill, ensuring that any legislation holds Mass General Brigham (MGB) and its expansion plans accountable.

With healthcare costs continuing to skyrocket each year, I applaud the Speaker and House leadership’s efforts to improve and strengthen the regulatory process for reviewing provider expansions through determination of need. The root cause for this legislation – MGB’s proposal to build three new ambulatory care centers in Woburn, Westwood, and Westborough – has raised serious concerns about how expansions without sufficient need can exacerbate healthcare costs, worsen health inequities, and threaten community providers.

H.4253 would establish a thorough, objective regulatory framework that would protect both patients and community healthcare providers from expansion proposals like MGB’s that would have detrimental impacts on the healthcare landscape and the Commonwealth.

Please consider voting to pass H.4253 to help contain healthcare costs; protect high-quality, affordable healthcare providers; keep low-cost community hospitals sustainable; and preserve access to critical safety net services.

Care for the Caregiver Event: Managing Stress During the Holiday Season

SHARE recently received the following information about this session designed to help make this holiday season a little bit happier. The event is free and open to all UMass Memorial employees . . .

Holiday Stress Starting to Creep In?

Join us this Friday, noon to 1 pm, for a live webinar hosted by our Optum EAP that will help us identify the biggest causes of holiday stress, find coping strategies that promote well-being, practice setting realistic expectations, and plan to approach the holidays differently this year. Don’t miss it!

Note that this session will be recorded for viewing afterward as well.  Once we receive the recording, it’ll be added to the list of webinar recordings on the Caring for our Caregivers page on the Hub.

Veterans Day & Member Spotlight: Sargeant Natalia Bessette

Happy Veterans Day! SHARE honors our many members who have served in the US Armed Forces. We are grateful to those of you who made such an important commitment to our country. We hope you will enjoy this day on which Americans celebrate and serve you. And we thank you for helping to keep our hospital going strong . . . especially if you are working to keep patients well on this holiday.

SHARE also encourages veterans to take advantage of the UMass Memorial Veterans Employee Resource Group (ERG). In case you missed it, hospital leaders sent a message earlier today describing that the ERG “is a resource available to all our veteran caregivers or family members of veterans. The Veterans ERG is a systemwide resource with the goal of supporting and recognizing veterans in our workplace and in the community. If you would like to get involved or have questions about the Veterans ERG, please contact the co-chairs, Sherri Gentile at sherri.gentile@umassmemorial.org or Adriana Dietlin at adriana.dietlin@umassmemorial.org.”

Below, we recognize Natalia Bessette, a Combat Medic who served with the Massachusetts Army National Guard who currently works as Financial Clearance Specialist in our hospital. Thank you, Natalia!

SGT Natalia Bessette (Steidle)

Combat Medic

Massachusetts Army National Guard

Served 2009-2021

Operation Enduring Freedom, Afghanistan 2012-2013

The day Natalia surprised her family by returning home from Afghanistan.

I enlisted in the MARNG with the want to provide medical care to soldiers. At the time, I wasn't sure just what the was going to involve but made a promise to myself that I would only accept an enlistment as Health Care Specialist aka Combat Medic. During my 12 years with the MARNG, I was able to do just that, as the sole medical provider for a platoon of 30+ soldiers of the 181 Engineer Company (Vertical) Afghanistan , a Treatment Team Leader in the 182 Infantry Regiment to rounding out my career with the Massachusetts Medical Command, aiding in the Medical Readiness of Massachusetts National Guard soldiers. After 12 years, I chose to separate from the Military with an abundance of knowledge and continue my career in the medical field with UMass Memorial.

Don't Forget! Four Important Reminders for SHARE Members

Hi, SHARE members. Please take note:

  • Open Enrollment Ends Friday! If you wish to make changes to your plan selections for 2022, you have until 11:59 pm Friday, November 12 to log onto MyBenefits and make these changes. If you’re not making changes, you don’t need to re-enroll unless you wish to elect a Flexible Spending Account in 2022. Questions? Email or call the Benefits Contact Center at 508-334-8511 (select option 6).

  • Let your local legislators know that you stand with SHARE and UMass Memorial against the MGB expansion plan. It’s easy, completely automated, and only takes a minute. Click here to send your message now.

  • This Veterans Day, we would like to honor you and any of your family members who have served . If you have photographs of yourselves in uniform that you would be willing to share on our website, please email your pictures to SHARE asap.

  • With the recent pay raise, this may be a good time to initiate or increase your 401K deduction. The hospital provides a matching contribution, which makes your money go even further. Consider showing some love to your future self: alongside the Defined Benefit Pension that all SHARE members automatically accrue, the 401k can be an important part of your retirement strategy. Learn more from the SHARE blog archive.

Blog Digest: Honoring Veterans & Opposing MGB Expansion

Keep the Pressure on to Stop MGB Expansion

While we await completion of the Mass General Brigham cost-analysis (the next step in the Department of Public Health’s decision to approve expansion), the Coalition to Protect Community Care has asked us to sign on to a message to our state legislators. It’s all automatic and takes less than a minute. You can help: click here

You just put in your name and address. The system will automatically generate a message to your area legislators, asking them to join UMass Memorial in opposing MGB’s strategy. Read more . . .

Honoring Veterans: Call for Photos & Stories

As Veterans Day approaches, we would like to recognize the many SHARE members who have served in the US Armed Forces. If you have served in the US military, we invite you to send a photo of yourself to SHARE to be included in a tribute that we are developing to post on our website on Veterans Day. We also welcome photos of family members who have served.

We would like to be able to share, too, some stories about your experience: how did military service prepare you for the work that you do now? For working together in our hospital? What do you want other SHARE members to know about the value of what you do? Read more . . .

Keep the Pressure on to Stop the MGB Expansion

While we await completion of the Mass General Brigham cost-analysis (the next step in the Department of Public Health’s decision to approve expansion), the Coalition to Protect Community Care has asked us to sign on to a message to our state legislators. You can help. It’s all automatic and takes less than a minute: click here

The form letter is quick and easy. You just put in your name and address. The system will automatically generate a message to your area legislators, asking them to join UMass Memorial in opposing MGB’s strategy.

As today’s Op-Ed in the Boston Globe points out, “A recent proposal by Mass General Brigham (formerly Partners HealthCare) to build outpatient surgery centers in Westborough, Westwood, and Woburn marks a troubling new threat to the survival of community hospitals and to overall health care costs for Massachusetts residents.” Every signature counts. Thank you.

Read more posts on the SHARE blog about the #MGB Expansion

Honoring Veterans: Call for Photos & Stories

As Veterans Day approaches, we would like to recognize the many SHARE members who have served in the US Armed Forces. If you have served in the US military, we invite you to send a photo of yourself to SHARE to be included in a tribute that we are developing to post on our website on Veterans Day. We also welcome photos of family members who have served.

We would like to be able to share, too, some stories about your experience: how did military service prepare you for the work that you do now? For working together in our hospital? What do you want other SHARE members to know about the value of what you do?

It’s coming up quick, but we’d like to have all submissions by Tuesday, November 9. Thank you in advance for participating, and for helping get the word out to other Veterans in our SHARE community. And, of course, thank you for what you’ve done to keep our union strong and our country safe.

About the Vaccine Mandate, from the SHARE Organizing Staff

Dear SHARE members,

As the hospital’s deadline for employees to get vaccinated gets closer, over 85% of SHARE members have either been vaccinated or approved for a medical or religious exemption. That leaves a few hundred SHARE members who are not “in compliance” with the mandate. If you are one of them, then this is for you.

If you have not been vaccinated and don’t have an exemption and you want help thinking about your options, we encourage you to reach out to your SHARE staff organizer or email SHARE.

It is clear at this point that there will be a vaccine mandate. SHARE has been working to negotiate about how it impacts SHARE members, but we are not finding the hospital to be very flexible in altering the approach that it has laid out. As negotiators and as friends to many of you, this is frustrating to us, as we know it is to all SHARE members who face important decisions over the next couple weeks. Regardless of whether you’ve been vaccinated, we know what you’ve given to our hospital and community, especially since the onset of COVID.

We are trying to help individual members who are reluctant to get vaccinated by listening, asking questions, and providing the information we have. We won’t try to tell anyone what to do, but we will support all SHARE members as they decide for themselves what they want to do.

in solidarity,

The SHARE staff

Blog Digest: Vaccine Mandate, Referral Bonuses

UMass Memorial VAccine Mandate: Management Decides on Deadlines, SHARE Responds

Last week, UMass Memorial informed SHARE that they decided on COVID-19 vaccine mandate deadlines. The SHARE team that is negotiating about this was surprised: up until then, our understanding was that our discussions were waiting for direction from CMS, which is putting out rules about how hospitals must implement their vaccine mandates in order to get paid by Medicare and Medicaid. CMS has not yet released its directions.

The deadlines in management’s plan are quite clear: the grace period to get vaccinated ends November 15th, followed by unpaid suspension, and termination on December 1st. However, there are still many questions.

A SHARE negotiating team of Executive Board members and organizers continues to meet with management representatives to negotiate the terms of this vaccine mandate. Among other issues, SHARE supports:

  • SHARE members being able to use earned time while suspended from work

  • SHARE members having a choice of resignation, termination, or a “no fault separation” that has some features of a layoff.

  • Individual discipline meetings to directly address SHARE members’ individual issues and try to find a solution, with union representation.

  • Opportunities for rehire if they get vaccinated.

For SHARE members who do not want to get vaccinated and who are struggling with decisions about what to do, this is a very difficult time. SHARE would be happy to talk, and try to help. Contact us at: share.comment@theshareunion.org

Learn More about the Vaccine

SHARE is also advocating for every member to be able to get answers to their questions and concerns. Many of these were addressed recently when SHARE members put their questions to UMass Memorial’s Chief Quality Officer, Dr. Kimi Kobayashi. You can read SHARE members’ questions and Dr. Kobayshi’s responses here.

TODAY at 4:30pm, the hospital will host a panel discussion to address caregiver concerns about the vaccine as they relate to race & ethnicity. Additionally, caregiver questions about pregnancy, breastfeeding, and the vaccine will be discussed by OB/GYN physicians on Friday at noon.

Referral Bonuses for SHARE Members & SHARE Jobs

Did you know that you can get a $3000 bonus if you refer a friend to work at UMass Memorial as a Medical Office Assistant? That’s just one of several referral bonuses currently available to SHARE members. See the full list of jobs and referral amounts in the chart below. If you make a referral, make sure that you and the person you refer both follow the instructions on the Hub so that you can claim your bonus!

UMass Memorial Info Session About COVID-19 Vaccines: Race & Ethnicity Q&A

SHARE has received word that UMass Memorial will today be hosting a panel discussion to address caregivers’ questions and concerns about the COVID-19 vaccine as they relate to race and ethnicity. The session begins at 4:30. See below for the event flyer.

Please note, too, that UMass Memorial will run a Question & Answer session this Friday about the COVID-19 vaccine as it relates to pregnancy and breastfeeding. SHARE members also recently put questions about these and other COVID vaccine issues to UMass Memorial’s Dr. Kimi Kobayashi at a pair of virtual information sessions. You can read SHARE members’ questions and Dr. Kobayashi’s answers here.

UMass Memorial Info Session about COVID-19 Vaccine for Pregnant & Breastfeeding Caregivers

This Friday at noon, UMass Memorial will be hosting an information session with UMass Memorial OB/GYN physicians about pregnancy, breastfeeding, and the COVID-19 vaccine to address questions and concerns from hospital employees. See the event flyer below for full details.

Additionally, UMass Memorial is running a panel discussion to talk about concerns related to race, ethnicity, and the vaccine. SHARE members also put questions about these and other COVID vaccine issues to UMass Memorial’s Dr. Kimi Kobayashi at a pair of virtual information sessions. You can read SHARE members’ questions and Dr. Kobyashi’s answers here.

The COVID-19 Vaccine: Questions and Answers, Part I

Dr. Kimi Kobayashi, UMass Memorial Chief Quality Officer

As the hospital continues its push for employees to be vaccinated, SHARE wants to make sure that  members have access to answers regarding their questions and concerns about the vaccine itself. Dr. Kimi Kobayashi recently took SHARE up on our invitation to talk with us about the science and safety of the COVID-19 vaccine at a pair of online meetings. Below, we’ve posted a summary of the questions and answers combined from both sessions.

Introduction

SHARE: Thank you for being with us today to represent the hospital and help us understand what it has to say about the COVID-19 vaccine and why the hospital has chosen to require employees to be vaccinated.

Dr. Kobayashi: I’m delighted to answer your questions.  I should also say that sometimes people have questions and aren’t comfortable raising them in this kind of format. If you want to set up a phone call or email me, I’m happy to do that as well. I should make clear that I’m an Internal Medicine doctor, and have been participating in decisions around COVID 19 because the Infection Control department reports to me. I work closely with Dr. Ellison, UMass Memorial’s hospital epidemiologist. I also want to say we’ve been making decisions during a pandemic with an emergent disease, which means we are constantly reviewing new information coming out to evaluate and adjust any decisions we make.

General Vaccine Safety

SHARE Member: How do we know the vaccine is safe? How can we predict that it won’t have unforeseen, bad consequences later? Especially since it was developed so rapidly?

Dr. Kobayashi: You’re right that the vaccines are relatively new. The speed with which they were developed has caused concern for people. The standard for approving the COVID-19 vaccines, however, has been the same as that to approve all other vaccines. There are a number of reasons that this vaccine could be developed more rapidly than others. Because it was a worldwide pandemic, a lot of scientists dropped everything to work on this. Everyone was racing. Much of the research behind this vaccine had already been in the works for many years. Some of these new technologies allowed for faster production.  And the entire world got involved, it wasn’t just a niche interest. 

The approval standard was just as rigorous as ever.  Many patients were enrolled in trials before the vaccine approvals. When you develop a vaccine, you need to have enough patients to test it, which takes a long time for rare diseases.  But in a pandemic, the testing and the results naturally come faster. This allowed for widescale studies to be done at a faster pace than previous vaccine studies. And now we’ve seen these vaccines widely used in the real world.  6.4 billion doses have been administered, including 400 million doses in the US so far.  For comparison, each year 10 million doses of the MMR (measles/mumps/rubella) vaccine is administered, so the scale is a lot bigger for the COVID-19 vaccine.  We have lots more info and data on this.  I can’t predict the future with one hundred percent certainty, of course, but we have a lot of real-world and scientific data to work from. 

SHARE Member: How do you compare risks of getting the COVID-19 vaccine against getting COVID-19, the disease itself?

Dr. Kobayashi: In every case I can think of, the side effect is worse with the disease than with the vaccine. For example, a side effect of the Johnson & Johnson (J&J) vaccine is that females can be more slightly more likely to develop a blood clot – but among all people who get the disease, the risk of getting a blood clot is astronomically higher. So we need to weigh those against each other.

 

Why Should I Get the Vaccine?


SHARE Member: Why does the hospital require the vaccine if an employee can still get COVID-19 afterward, and transmit COVID-19 to others?  

Dr. Kobayashi: The vaccines have proven to be over 90% effective at reducing hospitalization, and very effective at reducing death. There have been breakthrough cases among vaccinated people, but that’s uncommon (approximately 1/2-5000), and there are various reasons for this. It could be because their antibody response wasn’t very strong. Or they have chronic medical conditions that render them less able to generate a response.  We don’t want our employees to get COVID-19 and that’s the reason why the vaccine is being mandated.  The disease is much more mild if you’ve had the vaccine and most of the deaths seen from COVID-19 remains predominantly among those who are unvaccinated.  Also, our patients expect us to be vaccinated, I see it in patients’ comments and questions.  It’s something that our patients are demanding of us.

SHARE Member: I’ve already had COVID-19: why isn’t my own natural immunity sufficient? Why do I have to get the vaccine, too? 

Dr. Kobayashi: I get this one a lot. The vaccine offers more protection than the disease itself. We know from studies now coming out that you are twice as likely to get reinfected than if you get vaccinated.  We think you are protected for a couple months if you’ve been infected. The immunity is shorter-lasting than for the vaccine, which is more protective for a longer duration.

SHARE Member: I’ve worked directly with COVID-19-positive patients throughout the pandemic and have not gotten sick. Why aren’t PPE and my own hygiene practices sufficient so that I don’t have to get the vaccine? 

Dr. Kobayashi: Social distancing and PPE help.  But those aren’t going to be as effective as the vaccine because the vaccine protects both against getting it and against getting a severe case or dying from the disease. If you knew three things could protect you, why would you just use one? I like to draw an analogy to seat belts and airbags: both save lives, and you use both. You wouldn’t say that I don’t need a seatbelt because I have an airbag.  We rely on multiple layers for the best protection.

SHARE Member: I work from home and don’t see patients, why do I need to get vaccinated?

Dr. Kobayashi: If you come in to work onsite, we want you to be protected. For Medical Center employees there are situations where even caregivers working from home might be called in to campus. More fundamentally though we also just want you to be protected from COVID-19, period.  Being defined as “health care workers” allowed millions of people to be put at the front of the line to get the vaccine initially, ahead of teachers and other front-line workers. We are therefore all healthcare providers and we need to make sure we’re doing everything we can to protect our patients.


How Can We Know If Information Is Reliable? 


SHARE Member: Where is UMass Memorial getting the data indicating vaccines are safe and effective?

Dr. Kobayashi: We’ve treated it like any emerging disease.  As a physician, I use peer-reviewed literature to make sure we are acting on studies that were done in a good way. Governing bodies like the CDC synthesize these studies and use emerging data that is being generated by scientists.  If you want to know the best source of information, it’s the CDC. That’s because they’ve got to put their recommendations out there and then have folks like me ask, “But what about this?”  They are subject to scrutiny by hundreds, thousands of experts. The CDC site will show what studies they are using to support their recommendations. There are other sources of information out there that don’t use rigorously studied data and/or do not cite their supporting evidence for the claims they are making.

SHARE Member: To clarify, when you say “peer-reviewed study,” what do you mean?

Dr. Kobayashi: “Peer-reviewed” means that the data and the findings from the study is subject to review and critique by other experts in the field. When a study is subject to peer-review other experts review the study to ensure that the methods that were used and the findings that are presented are valid. It could even be called “expert review.”  Wikipedia, on the other hand, is a source that’s subject to review by other people, but the content isn’t controlled in the same way.  Information that withstands peer-review can be considered the gold-standard.

SHARE Member: The CDC VAERS [the Centers for Disease Control’s Vaccine Adverse Event Reporting System] webpage states that thousands of people have died after having received the vaccine. Shouldn’t we be alarmed about this?  

Dr. Kobayashi: There were 8,638 reports of death in the VAERS system. We have to remember that VAERS is a passive reporting system meaning that events are self-reported by patients and providers are obligated to report deaths even if they do not feel that the death was attributable to the vaccine. So, just because a death was reported in VAERS, doesn’t mean someone died because they got the vaccine.  They could have had a heart failure or other diseases unrelated to vaccine.  The VAERS system doesn’t provide a causal database, it’s meant to be a wide-encompassing database on purpose. That way we can pick up even small signals.  So far, there have been about 400 million doses, and eight thousand deaths following those doses, without causation.  That’s a very small fraction. In the rigorously conducted trials studying the vaccine there were no deaths among those that received the vaccine.

[SHARE note: according to the CDC website, “Reports of death after COVID-19 vaccination are rare. More than 396 million doses of COVID-19 vaccines were administered in the United States from December 14, 2020, through October 4, 2021. During this time, VAERS received 8,390 reports of death (0.0021%) among people who received a COVID-19 vaccine. FDA requires healthcare providers to report any death after COVID-19 vaccination to VAERS, even if it’s unclear whether the vaccine was the cause. Reports of adverse events to VAERS following vaccination, including deaths, do not necessarily mean that a vaccine caused a health problem. A review of available clinical information, including death certificates, autopsy, and medical records, has not established a causal link to COVID-19 vaccines. However, recent reports indicate a plausible causal relationship between the J&J/Janssen COVID-19 Vaccine and TTS, a rare and serious adverse event—blood clots with low platelets—which has caused deaths pdf icon[1.4 MB, 40 pages].”

Dr. Kobayashi: One more thing: I often use a seat belt analogy for understanding this. People continue to die in cars, but we don’t say, “Let’s get rid of seat belts.”  Just because someone was using a seat belt when they died doesn’t mean the seat belt killed them. 

SHARE Member: Some people might be scared to report to VAERS. Has the CDC underreported deaths?

Dr. Kobayashi: VAERS is not perfect, it’s not omniscient. If a symptom doesn’t get reported, it doesn’t get picked up.  I’m not here to say VAERS is a perfect system, but it’s better than nothing. Critics have said that the CDC reporting could be an undercount or an overcount.  There’s a back and forth about the data that we participate in as well.  We do know that COVID-19 is a very deadly disease that kills a lot of people.


What Do We Know about the Vaccines Themselves?

 

SHARE Member: If I’m nervous about the new technology, is the Johnson & Johnson shot a good alternative? Is the technology of that vaccine more like the flu shot?

Dr. Kobayashi. In short: yes. It’s a great vaccine. It’s delivered in a single shot, which is great if you don’t like needles. Johnson & Johnson does have good brand recognition, so folks might take comfort in that. There is a slightly higher risk of blood clots with the J&J vaccine. The technology is more like the flu vaccine in terms of how it triggers an immune response. I don’t have any recommendation on one brand over another, though.

SHARE Member: What are the ingredients in the vaccines that use the newer technology?

Dr. Kobayashi: The mRNA vaccines are pretty basic in terms of the components. They contain the mRNA and lipids, the fats that carry the mRNA into the body. It’s a pretty basic formula compared to vaccines that carry the converted virus contents, and are a little more complicated. You can see the ingredients here.

Special Cases: Pregnancy, Long-COVID-19, and Historical Trauma

 

SHARE Member: What do we know about the vaccine’s impact on female reproduction? What should we make of the vaccine’s impact on menstrual cycles? What is the risk if I defer the vaccine until after I’m pregnant, trying to get pregnant, or breastfeeding? 

Dr. Kobayashi: About pregnancy, some people have said, “Isn’t pregnancy a contraindication, a reason not to get the shot?” But actually, it’s the opposite. Pregnant mothers should get the vaccine. It’s protective.

I don’t know that there’s a clear correlation between disruption of menstrual cycles and vaccine. There are studies currently underway to investigate whether there is a linkage.

SHARE Member: If I’m pregnant, is there a better or worse trimester to get the vaccine?

Dr. Kobayashi: The data around pregnancy has been pretty clear. Getting the disease is far worse than getting the vaccine. Complications for the unvaccinated among those who get COVID-19 while pregnant are terrible including premature birth and severe COVID-19. 97% of pregnant patients getting COVID-19 in a recent study were unvaccinated. Based on the studies, you should get the vaccine as early as you can. The vaccine is also strongly recommended by the professional societies for OBGYN.

SHARE Member: With Pfizer and Moderna, what's the value of getting the second shot, especially if you've already got natural immunity from having had the disease itself?

Dr. Kobayashi: The studies used to approve the vaccines showed that the first dose was not sufficient to generate full protection, even if you have had the disease. The reason for that is because your body is built in such a way that when it’s already seen something, it provokes a much stronger response. In order to get that full effect, you really need that second dose.

SHARE Member: What do we know about long-COVID-19 and the vaccine? If I'm already experiencing some effects of long-COVID-19 (e.g., Postural Orthostatic Tachycardia), is there evidence that the vaccine might exacerbate those conditions?

Dr. Kobayashi: Long COVID-19 stimulates your immune system, and causes a lot of inflammation and symptoms around the body. We don’t have any evidence that the vaccine would exacerbate those symptoms. One of the things that’s been interesting about COVID-19 is that it causes a lot of inflammation in the body. We’ve seen kids get Multi-system Inflammatory Syndrome, for example. When you get the vaccine, you get an immune response, as opposed to the inflammatory response you get from the virus. The inflammatory response is exponentially higher from the disease. That’s what causes all those complications.

SHARE Member: Why does the hospital not provide an exemption for systemic racism or historical trauma related to medical science?

Dr. Kobayashi: We need to make sure there aren’t systemic barriers to getting the vaccine. I’ll take a leap and say I am assuming the concern here is about experimentation. People of color have been less likely to get vaccine. But if we were to say, “Okay, if that’s your reason, you don’t have to get it,” then I personally feel that we would be increasing disparities, not decreasing them. We’d be creating a double-standard that would perpetuate that inequity.


About the Federal Government Mandate


SHARE MEMBER: Has the hospital administration received any formal documentation from the federal government, OSHA, etc. that has formalized and validated the press release statements from Joe Biden, or are we operating these mandates under press-driven hearsay?

Dr. Kobayashi: The White House has released their mandate. That is what we’re working from, certainly not a press release. We’ve received guidance from CMS [Centers for Medicare & Medicaid Services], but the enforcement details are still forthcoming.

SHARE Member: There is not a federal law mandating vaccines. UMass is doing this under their own rules and OSHA has made no statement regarding vaccine mandates. Who has the authority to compel the hospital?

Dr. Kobayashi: The government has made clear its full intention to follow through on its mandate. The enforcement mechanisms haven’t been announced: will licenses be at risk? Fines? I don’t know enough about legislature to predict the details, but the government is enforcing this through CMS which is a mechanism that impacts all hospitals across the country.

SHARE Member: We’ve read that OSHA doesn’t direct the mandate in the healthcare settings, that non-compliant institutions will be fined or have Medicare/Medicaid withheld by the CMS?

Dr. Kobayashi: That’s right. Medicare & Medicaid makes this relevant to almost every healthcare employer in the country. Almost every healthcare institution gets funding through them.


About Flu Shots & Booster Shots


SHARE Member: Can I get the flu shot and the COVID-19 shot around the same time? 

Dr. Kobayashi: The original guidance was wait two weeks between the vaccines before getting the other. That guidance has changed and you can get the shots at the same time. The commonly reported side effects of both vaccines are similar: headache, sore arm, etc., so you’re more likely to feel a little bad if you get them the same day. But there’s no medical reason you can’t get them at the same time. 

SHARE Member: Can you talk about booster shots? Can I get one? Should I get one?

Booster shots have been approved for Pfizer and I expect the others to come soon. It’s been approved for immunocompromised conditions. Healthcare workers have also now qualified for a booster shot. We’re putting together a booster strategy at UMass Memorial. If you don’t want to wait, you can get it at retail pharmacies six months after your second dose. You can locate the sites on the vax finder on the mass.gov site. That’s a very different situation than when we initially gave vaccine back in January. They now have thousands of locations. I also want to be clear that UMass Memorial does not currently require a booster.

SHARE Member: If you get the booster, do we know how long it will be effective for?

Dr. Kobayashi: We don’t yet know when you would need a booster-booster. That information is being actively collected now.  My question is: will this be something like a flu vaccine, something that we just get every year? Every year the flu is not the same. Epidemiologists try to predict the future and create the vaccine based on that prediction.  We’re lucky that this vaccine is so effective against mutant strains.


Learn More


We’re publishing this first set of questions and answers which cover the most common and general questions from SHARE members to get information out as quickly as possible. More questions and answers will follow. If you would like to ask additional or follow-up questions to be answered in an upcoming SHARE blog post, please email share.comment@theshareunion.org

Please note, too, that the hospital will be hosting its own sessions to address caregiver concerns about the vaccine as they relate to race & ethnicity (Tuesday, October 19 at 4:30pm) as well as pregnancy & breastfeeding (Friday, October 22 at noon).

Vaccine Information Session Today

Covid Vaccine Information Session

Don’t forget! Today is the second session in which Dr. Kimi Kobayashi will answer SHARE members’ questions about COVID vaccine medical safety. Find more detail about these Information Meetings here. Today’s Zoom conversation will take place from 4:30pm-5:30pm. Join us using the button below.

Last week, SHARE members put a variety of questions to Dr. Kobayashi. Some expressed central concerns about vaccine safety, while others got into specific detail about reproductive health, the reliability of the current science, adverse event reporting, and more. You can email your COVID vaccine questions for Dr. Kobayashi in advance, or submit them in real-time at today’s session.

SHARE maintains that members should not lose their jobs due to vaccination status and should be safe from COVID when they come to work. The hospital currently maintains that employees will only be exempted from receiving the vaccine with an approved religious or medical request. As we anticipate further guidance from the federal government regarding the national vaccine mandate, we continue to negotiate the impact of the hospital mandate on members.

Two Reminders: Info Session Today, Exemption Deadline Sunday

Covid Vaccine Information Session

Don’t forget! Today is the first session in which Dr. Kimi Kobayashi will answer SHARE members’ questions about COVID vaccine medical safety concerns. Find more detail about these Information Meetings here. Today’s Zoom conversation will take place from noon to 1pm. Join us using the button below.

SHARE maintains that members should not lose their jobs due to vaccination status and should be safe from COVID when they come to work. As we anticipate further guidance from the federal government regarding the national vaccine mandate, we continue to negotiate the impact of the hospital mandate on members. The hospital currently maintains that employees will only be exempted from receiving the vaccine with an approved religious or medical request, which is due this Sunday.

Covid Vaccine Exemption Form Deadline

Here’s what UMass Memorial Hospital has to say: “Caregivers must submit all requests for religious or medical exemptions from receiving the COVID-19 vaccine by Sunday, October 10, 2021. Access the medical exemption request form and the religious exemption request form on the Hub. Caregivers who are not exempted must have received their first COVID-19 vaccine dose by Monday, :November 1, 2021. The COVID-19 vaccination is being offered through clinics and through Employee Health Services, all by appointment only. Visit the Hub's caregiver COVID-19 vaccine page to learn more and book your appointment. If you have trouble accessing a computer and need assistance booking an appointment, call 508-334-2621.”