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Over the past couple of months, I have visited with frontline teams in Colorado, Virginia, Maryland, Washington, D.C., Honolulu, Los Angeles and Oakland. Without exception, I observed a broad cross-section of our unionized workers and their partners struggling for positive outcomes.

“Struggle” describes what is involved in unit-by-unit improvement work. Struggle can be positive. It’s necessary for people to transform, and not just make a few cosmetic or ephemeral changes.

We were off again in March to the Peachtree State: Georgia. KP Georgia employees are some of the friendliest you’ll meet. First stop was “Coffee and Conversation” with Regional President Peter Andruszkiewicz (also known as “Peter A.”) and Dr. Rob Schreiner, the executive medical director of the region.