The nurses want to see staffing levels included in their collective bargaining agreement.
GREENFIELD -- Registered nurses picketing outside Baystate Franklin Medical Center Thursday said Baystate Health has "declined to bargain in good faith" over staffing levels, health insurance and mandatory overtime.
The 200 or so unionized nurses at the 90-bed hospital have been working without a contract since December, when their prior five-year pact expired.
Members of the Massachusetts Nurses Association and their supporters carried signs, chanted slogans and described their conflict with management.
Psychiatric nurse Donna Stern, chairwoman of the bargaining unit, said Baystate Health forces nurses to work overtime, won't contractually guarantee staffing levels, has imposed a 26 percent hike in health insurance costs, and wants to claw back earned time in the form of sick days, holidays and vacation.
"They are taking 52 earned hours every year," said Stern. "That, combined with the health insurance, will cost the average nurse 10 to 15 thousand per year."
Stern said Baystate fails to schedule enough nurses for any one shift, and then scrambles to achieve safe staffing levels. She said it is a violation of a 2012 state law that prohibits mandatory overtime for nurses unless there is a state of emergency.
Stern said contrary to what management says, it's not true that average nurse pay is more than $80,000 per year.
"Only a few nurses who have been here for years and work lots of overtime make that much money," she said.
Nurses become exhausted when forced to work long hours, creating an unsafe setting for patients, she said. The Baystate Franklin nurses have filed seven federal complaints with the National Labor Relations Board.
The nurses have been working without a contract since Dec. 31, and voted in March to authorize a one-day strike. That strike has not taken place.
Management tells a different story
Hospital management on Thursday denied the nurses' allegations and told a different story.
Baystate Franklin President Cindy Russo said it is not true that management will not bargain in good faith with the union. She said 15 meetings have been held since late fall, and that agreements have been reached on a number of issues.
The issue of contractual staffing levels is one matter that has not been resolved. Another meeting is set for May 5.
Russo objected to any assertion that staffing levels are unsafe, and said including rigid requirements in a collective bargaining agreement would tie the hospital's hands.
She said hospitals report staffing levels to the state, including a target for "worked hours per patient day." She said Baystate's staffing exceeds it target.
"Not only are we staffed well, but by having staffing ratios outlined in the contract, it decreases our ability to be flexible in terms of taking care of patient needs on an individual basis," she said.
Russo noted that a firm called Leapfrog, which rates hospitals based upon nationally reported patient safety data, this week gave Baystate Franklin an "A" rating. It has also been recognized as one of the top 100 rural hospitals in the country.
"This is based upon real data," she said.
As for the seven unfair labor complaints, Baystate Franklin public affairs manager Shelly Hazlett said the union has historically filed such complaints, "and that historically, they've all been dismissed."
Hazlett also reiterated that average base pay for registered nurses at Baystate Franklin is $40.88 per hour, meaning a nurse working a 40-hour week makes about $85,000 -- before overtime and any shift differential for evening or weekend work.
Baystate Health CEO Dr. Mark A. Keroack said the pay scale is in keeping with market data. As for staffing, "demand goes up and down" on a daily basis, Keroack said.
Keroack and Russo said the hospital deploys nurses known as "travelers," who work for an agency, to fill staff need on a flexible basis. They said they are also hiring and training a "float pool" of 40-60 nurses.
Keroack, meeting with editors and reporters at the The Republican and MassLive on Thursday morning, said he believes the union has a strategy. "I believe the union is using the staffing rhetoric as leverage to unionize Baystate Medical Center. That's the big prize."
He said meeting the union's demand might mean cutting services or closing units.
"It essentially puts you in a straitjacket," he said. "We are already in a restrictive budget environment."
Nurses at Baystate Medical Center in Springfield are not in the union.
Baystate Health has three bargaining units: Baystate Franklin in Greenfield, Baystate Noble in Westfield and the Baystate Visiting Nurses and Hospice. Baystate already has settled an agreement with the hospice nurses, and negotiations are ongoing in Westfield.
Ben Craft, director of government and public affairs for Baystate Health, has called the Baystate Franklin union allegations a "smear tactic."
"We continue to conduct our negotiations with the MNA in good faith and with the intent to reach a fair agreement," Craft said in a recent statement. "We call on the MNA to resume a constructive approach to negotiations, and to keep in mind the most important stakeholders in our discussions, the patients and communities we serve."
Baystate Health runs Baystate Medical Center, Baystate Children's Hospital, three community hospitals, and network of more than 80 medical practices. The health system employs more than 12,000 workers.
The Republican staff writer Jim Kinney contributed to this report.