1. Copyright © 2015 HCMA 1 Jeffrey Funk, MDiv, BCC Healthcare Chaplains Ministry Association http://www.prevent-it.ca/by-the-numbers

2. 2 Copyright © 2015 HCMA http://www.language-exchanges.org/

3. Words reflect experience Copyright © 2015 HCMA3

4. Language expresses what is important Copyright © 2015 HCMA4

5. 5 http://www.therapeuticcode.com/post/76970290358/geeks-adolescents-trapped-in-adult-bodies

6. Culture = sum of norms + influences language Copyright © 2015 HCMA6

7. Subcultures = dialects (not “pure”) Copyright © 2015 HCMA7

8. 8 http://novalead.co/category/culture/

9. Large organizations have specific “cultures” Copyright © 2015 HCMA9

10.  Have rules  How people communicate  How power is distributed  How decisions are made  How resources are allocated Copyright © 2015 HCMA10

11. Subcultures use different words Copyright © 2015 HCMA11

12. 12 Copyright © 2015 HCMA http://ipep.arizona.edu/blog/advancement_healthcare_culture_through_interprofessional_education

13.  Physicians  Nurses  Administrators  Ancillary Staff  Finance/Business Office  Patient/Families  Chaplains Copyright © 2015 HCMA13

14. 14 Copyright © 2015 HCMA http://tcpshome.com/pp.html

15.  Physicians: diagnose, treat  Nurses assess, care, educate  Administrators manage, direct, lead Copyright © 2015 HCMA15

16.  Ancillary Staff scan, culture, rehabilitate, dispense  Finance/Business Office accounting, budgeting, controlling  Patient/Families tell, cry, withdraw, comply, complain  Chaplains listen, assess, counsel, pray Copyright © 2015 HCMA16

17. 17 Copyright © 2015 HCMA http://blog.healthlanguage.com/the-critical-role-of-data-normalization-in-healthcare

18.  Physicians: medical jargon  Nurses vital signs, medications  Administrators goals, regulations, mission, policies Copyright © 2015 HCMA18

19.  Ancillary Staff treatment  Finance/Business Office dollars, time, productivity  Patient/Families feelings  Chaplains Spiritual pain, meaning, hope Copyright © 2015 HCMA19

20. 20 Copyright © 2015 HCMA http://www.creech.af.mil/news/story.asp?id=123352113

21.  Reduce spiritual distress  Emphasize “presence”  Explore meaning  Engage patients to gain insight and find strength for spiritual healing  Ministry / Pastoral Care Copyright © 2015 HCMA21

22. 22 Copyright © 2015 HCMA http://www.washingtonpost.com/blogs/wonkblog/wp/2015/01/16/cms-administrator-marilyn-tavenner-is-stepping-down/

23.  Set mission and goals  Accountable to board, community and stockholders  Compliance with regulatory requirements  Monitor progress toward goals Copyright © 2015 HCMA23

24.  Quality improvement  Take action, delegate  Obtain tangible results Copyright © 2015 HCMA24

25. 25 Copyright © 2015 HCMA http://www.elforo.com/showthread.php?t=60623&page=9

26.  Develop budget; allocate resources  Demand greater than supply  Assure fiduciary accountability  Monitor progress; make adjustments  Strive for maximum productivity Copyright © 2015 HCMA26

27. 27 Copyright © 2015 HCMA http://www.boston.com/news/health/articles/2009/08/31/more_patients_seeking_spiritual_guidance_from_chaplains/

28.  Spiritual pain  Pastoral presence  Prayer  Sacraments, rituals  Spiritual care plan  Ministry Copyright © 2015 HCMA28

29. 29 Copyright © 2015 HCMA http://www.lcsun-news.com/las_cruces-news/ci_24557887/new-mmc-ceo-aims-grow-hospital

30.  Mission and vision  Goals and targets  Regulations, standards, policies and procedures  Benchmarks  Indicators Copyright © 2015 HCMA30

31. 31 Copyright © 2015 HCMA http://www.macmillandictionaryblog.com/the-language-of-finance

32.  Budgets  Variances  Productivity  Costs, expenses (control and reduce)  Revenue (maintain and increase)  Ratios Copyright © 2015 HCMA32

33. 33 Copyright © 2015 HCMA http://blog.jobzella.com/en/what-does-your-body-say-about-you-during-a-job-interview/

34. CHAPLAINPainPresencePrayerSacraments Spiritual Care Ministry CEOMissionVisionGoalsRegulationsPoliciesBenchmarksIndicators 34 CFOBudgetsVariancesProductivityCostsRevenueRatios Copyright © 2015 HCMA

35. 35 Copyright © 2015 HCMA http://thegradstudentway.com/blog/?p=251

36. We’re foreigners in a host nation Copyright © 2015 HCMA36 http://www.theepochtimes.com/n2/opinion/foundations-boost-chinese-government-not-ngos-213260.html

37. Translate what we do into their language Copyright © 2015 HCMA37 http://www.thirdyearabroad.com/graduates/item/1239.html

38. “Unit of Service” = what we do Copyright © 2015 HCMA38

39. “Resources”= what we use to produce a Unit of Service Copyright © 2015 HCMA39

40. 40 Copyright © 2015 HCMA https://www.cms2cms.com/blog/boosting-productivity-wordpress/

41. How many resources to produce something? Copyright © 2015 HCMA41

42. Ratio # client visits # hours Copyright © 2015 HCMA42

43. Unit of Service = client contacts family counseling bioethics consults code blue end of life care grief follow up Copyright © 2015 HCMA43

44. resources = staff hours (training, supplies) Copyright © 2015 HCMA44

45. 45 Copyright © 2015 HCMA https://mylordandmyblog.wordpress.com/tag/hospital-chaplain/

46. Set productivity goal: Respond to all deaths Copyright © 2015 HCMA46

47. Collect data: # of deaths # of staff hours Copyright © 2015 HCMA47

48. Communicate Outcomes 84 deaths … at 77 (91%) 97 hours … 1¼ hrs per visit avg 97 hours … 1¼ hrs per visit avg Ratio =.79 pt/hr Copyright © 2015 HCMA48

49.  Policy and procedure compliance  Mission fulfillment  High family satisfaction  Decreased staff stress  Reduced litigation  Increased attendance at grief support group Copyright © 2015 HCMA49

50. 50 Copyright © 2015 HCMA http://marutimirkar.blogspot.com/2014_10_01_archive.html

51.  Variability  Balance  Priority Copyright © 2015 HCMA51

52. 52 Copyright © 2015 HCMA https://login.touricoholidays.com/benefits/

53.  Validates Duties  Vision for Growth  Basis for Salary Copyright © 2015 HCMA53

54. 54 Copyright © 2015 HCMA http://wolberts.com/questions-about-monsanto-or-roundup/