"These priorities, coupled with the growing frustrations our members are expressing, should be a wake-up call for many health care stakeholders who think the status quo is acceptable and that the days of blank checks will never end," said Elizabeth Mitchell, president and CEO of the Purchaser Business Group on Health (PBGH).

Workers in several sectors have already won contracts that constrain how monitoring data can be used for attendance, performance evaluation, discipline or interference with protected activity, according to the UC Berkeley Labor Center's inventory of union contracts.

Understanding that complexity does not mean criticizing the system. It simply means acknowledging how it operates in practice in order to give employees the support they need to move through that complexity with clarity and confidence.