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Members of the Berkshire United chapter of the MNA picket at Berkshire Medical Center on Monday night. The union is negotiating its first contract with BHS.
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BHS says it's been 'holding productive, respectful negotiations' with the unionized nurses and clinicians.
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The picket was Grinch-themed.

Visiting Nurses' Union Picket for More Pay, More Care Time

By Brittany PolitoiBerkshires Staff
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Former Visiting Nurse employee Sarah Roberts says the work is stressful and there are fewer people to do home care. That led her to go back to the hospital to work. 

PITTSFIELD, Mass. — Unionized members of the Berkshire Visiting Nurses Association chanted "BHS you can't hide, we can see your greedy side" outside of Berkshire Medical Center during a picket for a fair contract on Monday.

Berkshire United, represented by the Massachusetts Nurses Association, is negotiating its first contract with Berkshire Health Systems and union members say they are pushing for fair pay and productivity standards. Members see this as crucial to preserve staff and quality of care.

"As workload expectations have increased dramatically, pay has not. Our nurses make $5 to $10 less an hour than the state average for home-care nurses. They can make $9 to $15 more an hour and have a wage step scale by going over to the hospital working for the same employer," said union co-Chair Tamaryn Clowdus.

"Berkshire VNA has gone from a department that seldom had a staff vacancy to a department that is fighting to hire and retain staff. They have lost 34 permanent staff over the past two years, 11 since August of this year. We have lost four physical therapists and haven't been able to hire any replacements for two years. Our agency used to manage caseloads of 600 patients and now we struggle to manage caseloads of 300."

BVNA registered nurses, and physical, occupational, and speech therapists unionized two years ago and have two main asks for the contract:

  • A wage step scale of the kind that MNA-represented nurses, health professionals, and other union members have in contracts throughout the commonwealth, including at BMC.
     
  • Productivity language that reflects the reality of home care today and allows BVNA clinicians to spend an appropriate amount of time providing patient care and support and documenting.

Supporters joined the picket on North Street with holiday-themed signs — including the Grinch himself with a sign that read "BHS don't be a Grinch."

Director of Media Relations Michael Leary said BHS deeply values its skilled and compassionate home care clinicians who are integral to the mission of advancing the health and wellness of everyone in Berkshire County.

"We respect our employees' rights to organize, along with their rights to free speech and assembly. As always, we are committed to working with both our Berkshire VNA clinicians and the Massachusetts Nurses Association in good faith," he wrote.

"We have been holding productive, respectful negotiations with the MNA for more than a year and have proposed wages that are competitive within the home-care industry and productivity expectations that are consistent with home-care industry standards. We remain committed to negotiating in good faith, and we are confident that we will reach a fair and equitable agreement."

Former BVNA employee Sarah Roberts decided to go back to the hospital after more than two years of what she described as long stressful days with ambitious quotas to meet, lots of traveling, and insufficient pay.



"After two and a half years I came to the point where I just decided that my family was more worth my time than my job and I came back to the hospital where I actually do have a work-life balance," she said.

"I do get to punch out and go home and home is home and work is work. This building is work and when I go home it's home. It doesn't cross paths anymore and that's very very important and I know that all of these clinicians who are amazing need the support and need the time and money that it takes to care for these patients."

Roberts said this job was by far the hardest one she has had in her life and union members are some of the best clinicians she has worked with.

"It's really, really, really time for BHS to pay these people what they deserve and give them the time that it takes to take care of families," she added.

Clowdus has worked in home care for around 20 years and has seen the workload become more demanding while caseload expectations remained the same.  With one home care agency now covering all of the county, she said some clinicians are driving 50 to 100 miles a day, patients are being discharged the same day as surgery and hospital stays have decreased from 7.4 to 4.5 days, and Medicare has increased required Oasis time points (Outcome and Assessment Information Set) from 107 to 169 questions.

The time points require clinicians to answer more than 100 specific questions on data they collected during a patient's admission.

She said management has lowered the experience qualifications for nurses to allow for more hires but according to the state Board of Registration in nursing, licensed nurses rose by 24 percent between 2019-2022.

"Our agency is in a crisis," Clowdus said.

"We are here tonight to stand together, to fight together, to win. Not just for our members, but most importantly for our patients, their families, and our community, who deserve a fully staffed VNA that can provide the best and most comprehensive patient care."
 


Tags: BHS,   contract negotiations,   nursing,   union contract,   

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Elder Services Celebrates More Than 50 Years While Navigating Federal Challenges

By Breanna SteeleiBerkshires Staff

PITTSFIELD, Mass. — Elder Services of Berkshire County celebrated 52 years at its annual meeting Friday.

Guests gathered at the Country Club of Pittsfield to honor service members and hear about healthy aging in the county from keynote speaker Beth Dugan, a gerontology professor at the Manning College of Nursing and Health Sciences at University of Massachusetts at Boston.

Executive Director Chris McLaughlin welcomed everyone and recognized community partners and board members. He said the agency is supported by 135 employees and 260 active volunteers who help bring the nonprofit's mission to life.

"As the Aging Services Access Point and Area Agency on Aging for our 32 communities, Elder Services is the trusted resource for older adults and their caregivers, supporting their desire to remain at home safely," he said. "Whether it's a referral to a community resource or to one of our many programs, it's our job to meet people during some of life's most challenging times and to help them find solutions that enable them to remain independent," he said.

McLaughlin said he thought back on last year's meeting where they worried about cuts in federal funding and programs associated with the Trump administration's dismantling of the Administration for Community Living that never materialized. While that did not affect them he raised concern about Medicaid changes expected to take effect in January, including projected reductions in federal funding to Massachusetts and loss of Medicaid eligibility for some consumers because of the implementation of Trump's "Big Beautiful Bill."

"These changes will remove $3.5 billion in federal funding for Massachusetts and Medicaid eligibility for many, including some of our consumers, with disastrous consequences," he said.

Another challenge for the agency was a cap put in place on their enrollment for their home care program.

"Our state Home Care program, our agency's largest program, deploys homemakers, home health aides, and companions to the homes of Berkshire older adults and continues to grow at unprecedented levels," McLaughlin said. "The implementation of a cap on the number of Enhanced Community Options Program consumers we can enroll has basically cut in half the number of individuals we can service in this program. These individuals qualify clinically for nursing home level of care. This cap will remain in effect for the near future." 

But they are still looking up for the future.

"We understand more than ever before that in 2027 there will be changes designed to limit state spending for older adults and this will be compounded by even more older adults becoming eligible for our services. We look forward to learning more about how the Rural Health Transformation Program will benefit older adults in Berkshire County. We are of course worried about how MassHealth changes will impact our consumers and whether the Commonwealth will reduce our funding to support those who will lose Medicaid eligibility," McLaughlin said.

"Despite these challenges we remain optimistic about the future and will respond to them as we always do,  with purpose and resilience." 

The nonprofit also highlighted its successes through the Hospital Liaison Program that works with local hospitals to help older adults return home rather than enter a nursing home. Although its original funding had ended, Berkshire Medical Center secured a grant expected to support the program for another 30 months.

Volunteers also helped more than 4,000 Berkshire residents make Medicare and other health-insurance decisions. One volunteer helped a woman undergoing chemotherapy qualify for assistance with co-pays and find grants to address an outstanding bill and was able to complete her treatments without the added stress.

The lunch also awarded Elder Services employees. Lauren Larison, Laura Sexton, Jillian Tatro, Christine Barcus, Lisa Jamros, Nichole Pervere, Janet Richardson, Fred Minkle Jr., Karen Decker, Larry Belanger, Diane Cote, and Mary Moran were recognized for five years with Elder Services. Linda Gilardi, Judith Desjardins, and Sara Dastoli were recognized for 15 years with the agency and Bill Marsh and Deb Aldrich-Jegtvig were celebrating 30 years of service. 

The meeting included a change in the board with new President Kalee Carmel taking over for Barry Kriesberg, while recognizing Teresa Caldwell on her term ending.

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