4 so why not use metrics in chaplain services? we do it subconsciously anyway!Bring it out into the light!
5 Are Chaplains Professionals? definition of professionalism:1. skillfulness by virtue of possessing special knowledge2. professional status, methods, character, or standards
6 A “Raw” View of Professionalism "a focused, accountable, confident, competent, motivation toward a particular goal, with respect for hierarchy and humanity, less the emotion" Edward B. Toupin
7 Accountability “motivation toward a particular goal” what is measurable?quantityqualitywhat is the common factor?time
8 Variability the human factor individuality of the patient/client skill and experience of chaplain as Independent practitionerswhen services provided are:self-initiated or by referral
9 Quantity - 1 why count services provided? what can the numbers show? metric for accountabilityreport for goals achievedcost for services (expense per Unit of service)
10 Relative Resource Unit a relative resource unit (RRU) is the factor of each service event relative to the amount of time it takes to provide that service.time is the common factor for every providerthe service that takes the least amount of time has an baseline RRU of 1.0another service that takes 25 minutes has an RRU factor of 2.5
11 Units of Service (UOS) 50 - SE #1 x 2.50 = 125.00 a Service Event (SE) times its Relative Resource Unit (RRU) equals a unit of service (UOS)SE x RRU = UOS50 - SE #1 x =60 - SE #2 x =46 - SE #3 x =One Month Total UOS =
12 Expense per Unit of Service (UOS) an Expense per UOS is determined by dividing the budget by the total number of units of service (all service events times their Relative Resource Unit)Budget Total UOS = Expense per UOS
14 Expense per UOSan Expense per UOS is the way we report direct patient care activity in relation to the budget for our departmentIt is our method of accountability to our administrationIt is expected that we meet or beat our Expense per UOS on a monthly basis
22 Unmet Patient Needs60% (300 patients) receive spiritual/pastoral care at least once during their stay40% (200 patients) do notIf chaplains were to care for those 200 patients they would find that:27% would result in a pastoral contact73% would result in a significant spiritual care intervention
23 Quantity - 3 why count services provided? what can the numbers show? assignment of resourcesdepartment and individual productivityother?
24 Reprise definition of professionalism: 1. skillfulness by virtue of possessing special knowledge2. professional status, methods, character, or standards.
25 Quality “skill, methods, character, standards” elements in each encounter that are measurable/observable:greetingrapport/mutualityspiritual assessmentreligiosityspirituality and practices
26 Quality “skill, methods, character, standards” elements in each encounter that are measurable/observable:spiritual/pastoral issues addressedservice or services providedoutcome of the interventionclient response to the interventionfollow up plan
27 Quantity/Quality Improvement department dashboard metricsexpense per UOS (drill down to cause of increase or decrease)productivity (drill down to teams, individuals, services)chaplain response time – codes, referralsdeath protocol follow through
30 Quantity/Quality Improvement referral sources with max and min times of day; e.g. time frame when am-admit patients want a priest for anointingpatient unit use of chaplain resourcesministry to staffcontinuity of care –referrals out
31 Quantity/Quality Improvement what else can the numbers show?