 After a decade of strikes and discontent, an unlikely agreement changed the delivery of healthcare at Kaiser Permanente. Now a labor management partnership unites more than 150,000 managers, physicians and union members together to lead teams, solve problems, and make decisions. Employees of all ranks have a voice in the way the organization delivers care. They've been doing it for 20 years and it works. Kaiser Permanente works with 28 different unions to provide good pay and benefits, but also educational programs and avenues for employees to help improve quality and care throughout the company, which is why they're considered one of the premier health organizations in the country. What better place than to go to the people that are actually delivering the care before you get into the room? The people that are doing the work get a chance to say, we can do it better. We can do better. Here's how.