Business leaders often see collective bargaining agreements as the be-all and end-all of management’s relationship with unions. But frontline workers are closer to day-to-day operations than management, and know where to solve common problems. Leaders should instead focus on fostering ongoing partnerships with workers and union members through a formal labor-management partnership, which can lead to significant improvements in organizational performance and worker engagement. Drawing from the documented improved outcomes and proven best practices from a labor-management partnership created at Brooklyn’s Maimonides Medical Center, organizations can create effective labor-management partnerships with the following steps: Introduce the idea collaboratively. Build understanding and trust. Set up infrastructure and choose initial projects. Identify and invest in skills and leadership. When bad things happen, look at the systemic issues. Pace for a marathon, not a sprint.