1. Alan Sanders, PhD Director, Ethics CHE Trinity Health
Stewardship
Alan Sanders, PhD
Director, Ethics
CHE Trinity Health

2. Stewardship

3. Stewardship?

4. Genesis
Then God said, "Let us make man in our image, after our likeness; and let them have dominion over the fish of the sea, and over the birds of the air, and over the cattle, and over all the earth, and over every creeping thing that creeps upon the earth." So God created man in his own image, in the image of God he created him; male and female he created them. And God blessed them, and God said to them, "Be fruitful and multiply, and fill the earth and subdue it; and have dominion over the fish of the sea and over the birds of the air and over every living thing that moves upon the earth" (Gen. 1:26-28).

5. Genesis
“God blessed Noah and his sons and said to them: Be fertile and multiply and fill the earth. Fear and dread of you shall come upon all the animals of the earth and birds of the air, upon all the creatures that move about on the ground and all the fishes of the sea; into your power they are delivered. Any living creature that moves about shall be yours to eat; I give them all to you as I did the green plant.” (Genesis 9: 1-3)

6. Old Testament
 “The earth is the Lord’s, and everything in it, the world, and all who live in it.” (Psalm 24:1)
“To the Lord your God belong the heavens, even the highest heavens, the earth and everything in it.” (Deuteronomy 10:14)
“The land must not be sold permanently, because the land is mine and you are but aliens and my tenants.” (Leviticus 25:23)
“Who has a claim against me that I must pay? Everything under heaven belongs to me.” (Job 41:11)

7. New Testament
Talents (Matthew 25: 14-30)
Pounds (Luke 19: 11-27).

8. Universal Destination of Goods
God created the earth and its resources for the benefit of all humanity.
We are not ultimately the owners of anything, but required to be good stewards
Not contrary to personal ownership, private property – But they are not absolute
Larger social function to contribute to authentic development

9. In context of other Principles
Human Dignity
Most God-like when we ‘co-create’
Participation and Association
Partake – Contribute to God’s creation
Solidarity
‘Walk with’ others, in the environment
Subsidiarity
‘Co-create’ at the appropriate levels
The common good
Conditions necessary for people to thrive
Caring for those who are poor
Stewardship for those left out

10. Encyclicals Early Encyclicals Pope Paul VI: Pope Paul II:
1965, Joy and Hope
1967, On the Development of Peoples
1971, A Call to Action
1971, Justice in the World
Pope Paul II:
1988, The Social Concerns of the Church
1991, One Hundred Years

11. Pope Benedict VI – Charity In Truth
Let us hope that the international community and individual governments will succeed in countering harmful ways of treating the environment…One of the greatest challenges facing the economy is to achieve the most efficient use – not abuse – of natural resources, based on a realization that the notion of ‘efficiency’ is not value-free.

12. Pope Francis – Apostolic Exhortation
There are other weak and defenseless beings who are frequently at the mercy of economic interests or indiscriminate exploitation. I am speaking of creation as a whole. We human beings are not only the beneficiaries but also the stewards of other creatures. Thanks to our bodies, God has joined us so closely to the world around us that we can feel the desertification of the soil almost as a physical ailment, and the extinction of a species as a painful disfigurement. Let us not leave in our wake a swath of destruction and death which will affect our own lives and those of future generations.

13. Stewardship

14. Stewardship?
Profit
Convenience
Efficiency

15. Stewardship and Health Care
We are stewards of:
Persons
Self
Environment
Time
One’s gifts & talents
The budget
Property
Our Founder’s Legacy

16. A Closer Look
The communities we serve. Waste reduction recycle programs; green initiatives, building design and maintenance; strategic transitioning and community impact; collaborative versus competitive ventures

17. A Closer Look
Those with whom we serve: Employee wellness programs; employee development programs, 401 K and matches; lean process improvement; strategic sourcing; use of PTO and work life balance; spirituality at work

18. A Closer Look
Those we serve: Comprehensive readmission risk assessment, tele-health and coaching, senior emergency rooms; transition coach, clinical indicators; values based purchasing; patient observations; directing patients to the right level of care; providing convenient levels of care to provide options; identifying high users (i.e., Hot Spotters); Health literature and wellness.

19. Readmission Risk Assessment

20. Readmission Risk Assessment

21. Discussion
Comments
Questions
Best Practices