With all the change occurring in healthcare, Trivisonno says hospital leadership should just assume that at some point they will face some sort of organizing effort.
"Be prepared. Make sure that your management team is ready because the unions are not backing off. There are three more years with this administration in Washington and now that they have a full board complement they are coming," he says.
"Most employers' positions are very rational. Talk about it from orientation all the way through and make sure your managers have the skills, because this is a subject that people often have different opinions on. Managers don't like walking into a room where there could be conflict. So having them comfortable with the issue and seeing that they have their little elevator speech about the organization's position on unions is essential."
"You should be talking proactively with your staff about your positions on unions. People are afraid of talking about the 'U' word. The thinking is that if we talk about unions we will stimulate union activity. Wrong! It's like talking to your children about drugs and sex. You have to get out there and get ahead of it."