Christ Christ our Hope our Hope

in healthcarein healthcare

Improving Improving Quality of CareQuality of Care

Improving Improving Quality of CareQuality of Care

PurposePurpose ProblemsProblems Predisposing factorsPredisposing factors PlansPlans

Problems re Quality of Care

Absenteeism (sick staff)Administrative issuesAgency staff (not familiar, inexperienced)Apathy amongst healthcare-workersAppointments inappropriateAttitude towards work/ patients wrongAttitudes: inter-personal relationsBatho Pele lackingBrain-drain: loss of experienced staff, nurses and doctors (to overseas) Burn-out (due to staff-shortage & moonlighting)Commitment lacking (in healthcare- workers & authorities): towards responsibilities; specific promisesCommunication poorCommunity abusive to health-workersCompliance lacking (patients)CorruptionCostliness of private servicesCrime at clinicsCustomer care decliningDemanding patientsDeterioration of services dramaticDiscipline lackingEquipment faultyEquipment: lackFatigue (moonlighting)Finances lackingForgetting GodFulfillment lackingFunds misappropriatedGreed for moneyGreed for power/postsInaccessibility of health facilitiesIncompetent at level placedIn-service training lackingIntegrity deficiency (lacking)IOD not compensatedLove and compassion lackingRecruitment strategies faultySkilled personnel lacking

Spiritual care (of staff & patients) neglectedStaff support lackingLack of support from supportLack of trainingLazinessLoss in ethicsLoss of callingMaterialsMedical Aid problemsMedicines not enoughMigrationMotives for being in healthcare are wrongNo medicines availableNO purpose (identity)Overcrowding (OPD & in-patients)Patients more knowledgeable about diseasesPerverse incentivesPoliticsPolitics – interferencePoor salariesPoor vision & callingPrivate Training School standards lowRacismResources lacking: human & materialRole models lackingShort staffed (nurses & doctors)Shortage of staffSuperficial careTheft of medicines (etc)Threatened incorporation of “traditional healers”TiringToo many diseases and deathTrade-unionsTransport problemsUnethical practicesUnions mis-functionalVehicle misuseVolunteer lay workers unable to function at expected level

8080 Problems Problems mentionedmentioned

8080 Problems Problems mentionedmentioned

Predisposing factors re Problems in Quality of Care

AbsenteeismAppointment process longAuditing & feedback lackingBacksliding - nationalBatho pele on paper onlyBrain-drainChrist is sidelinedChristian healthcare-workers are withdrawing (not standing up/out)Commitment lackingCommunication lacking (both ways)Competition unhealthyConditions of service (salary, working hours...)Controls –lack of (medicines, vehicles, finance, equipment)CorruptionCulture of entitlementDiscipline lackingEconomyFear of God sadly lackingFinancial factorsHCF is dwindling (?)Illegal immigrationImage of health profession low nowInter-professional competitionLack of visionary leadership (management)Leadership vacuum (national & prov)Management poorMaterialism (money-hunger)Misinterpretation of democracyMorale poor...NegligenceNo callingNot being paid according to positionPlanning poorPolitical factorsPopulation expansionPower crazinessProper discipline lacking

Retention strategy poorSelf-centredness / selfishnessSocial factorsSpiritual factorsStaff shortagesTraining lackingTraining centres closedTsotsi elementUbuntu missingUnderpayingUnionsWorking environment... Spiritual factors Management factors Political factors Social factors Money factors Training (education) factors Leadership factors Staffing factors

Spiritual factorsSpiritual factors Management factorsManagement factors Political factorsPolitical factors Social factorsSocial factors Money factorsMoney factors Training (education) factorsTraining (education) factors Leadership factorsLeadership factors Staffing factorsStaffing factors

What-to-do?!What-to-do?!

What does the LORD want What does the LORD want us to do... NOW?us to do... NOW?

PlansPlans

Plans re Improving Quality of Care

Personal Repentance & Revival

(2 Chron 7:14) - Prayer

Humble ourselves, Seek God’s

Face, Repent (turn from our wicked

ways)Public Healthcare RevivalDiscussions with colleagues

(of commissions findings)Involvement in pre-clinical

yearsInvolvement in orientationIn-service training be involved as Christianstake initiativeSpiritual workshopsBe Christ-Centered

(consciously)Be doers of the WordBe spiritual cardiologistBring Christ to Christians &

“not-yet Christians”Be bold about Christ &

Christianity (no timidity)Christians to plan to influence

Health & Education MinistriesMake sure that we are on fire

for GodLead as many people to

Christ as possible!Christian Medical & Nursing

schools startMake a concerted, aggressive,

prayerful effort to expand the Christian organizations (HCF, CMF, DFL, etc) in the health institutions...

Establish at least one Christian hospital in each province (as models)

National Christian Health Educators Conference (invite ALL Christian Health-professions Educators)

Vigorous Prayer for all healthcare-workers

Have similar networking Conferences in all provinces/local areas

Participation in policy-making

Support & counseling of staffFeedbackBE salt & light in workplace

BE co-workers with God (trustworthy, competent, reliable, honest, clients to feel safe)Share God’s Word (with staff, patients, colleagues, authority)Prayer Unity of Christians in healthcare Establishment of networks For Christians in authority Righteous policiesReach out/build bridge Management More Nursing Schools neededEstablish Christian Health Networking Group/body Seek ways of linking churches with health institutionsMake “Linking with Churches and Students”-ministry one of the 10 HCF Action Team MinistriesMultiply Seminars / workshops on relevant topics (like handling negative peer pressure; the neglected priority of Spiritual care of patients, etc....)Churches to be involved in affordable PHC/step-down/hospice care in context of loving communityPersonal Repentance & Revival Concerted Prayer movementPublic Healthcare Revival Christ-Centered Clinical CareSpiritual Care re-prioritizeActive, effective EvangelizationHealth-workers’ Revival Conferences Christian Health Ambassadors’ Group to Departments developPromote HCF/CMF/DFL/etc activelyChristian Educators reach/influenceInvolvement in pre-clinical yearsInvolvement in orientationIn-service training Get involves in Health PoliticsHow reach management?Promote Personal Devotional Life

Listed Prioritized Plans re Improving Quality of Care- as listed as it was mentioned by participant discussion groups (combined here)

Personal and health institution prayer, repentance, revival & reformation... Individual impact/role Be salt & light Dedicated & diligent Love people Prayerful & full of Word of God Prayer calendar Bring Christ back into us Christians Prayer; Evangelism (active/ effective) Discipleship Promote personal devotional life Repentance & boldnessPromote Personal Devotional LifeStart where you are – influence others – they also influence others and link strategically with others – slowly transforming hospital... Yeast principleGet involved in health politics and management Political involvement Lobby politicians Pray for politicians Representation on legislation Regular prayer for governmentGet involved in health care politics Identify, support, feedback, lobby with Christians in management & policy-making Attend Union meetings & speak boldly Your life must reflect Christ Be involved at government level and management level (private hospitals) Be involved in planning/policies Do not be ruled by spirit of fearChristian(ize) medical school, Christian nursing schools, hospitals...Christian hospital (mission hospital) Maintain Christian principles Provide financial, moral & spiritual support

Training, development & discipleship Train trainers & Christian students Train health care workers Biblical studies in schools again Seminars / workshops for health-workers on skills development and relevant needs (e.g. peer pressure, persecution, evangelism, spiritual care, etc.)... HCF modulesChristian Education of health professionals – involve, revive, reform.Christian organizations involved in developing curriculums National Christian Health-professions Educators’ Conference...Networking Individual Churches Make “Linking with Churches and Students”-ministry one of the 10 HCF Action Team Ministries Establish Christian Health-workers’ Networking (Ambassadors’) GroupDevelopment of Christ-centered Clinical Care (methods/policies)A conceptual framework by one group about the “HOW”:1) Identify & quantify our human resources2) Identify & quantify organizational resources3) Identify & empower persons amongst us already in power4) Identify potential leaders whom we can influence 5) Establish a common goal behind which we can all run...6) Each organization to formulate the strategy to identify & equip their members

Specific Steps to Start with... (re Improving Quality of Care)- based on Listed Prioritized Plans

Personally pray, repent, be revived & reformed (transformed) ...to be the loving light and salt and yeast at home and in the workplace... with Christ as the Origin and Center and Goal of all... while maintaining a strong, healthy personal devotional life, ...and a strong, loving, humble, holy, active, “on fire”, enthusiastic, bold, wise, evangelistic, dedicated, diligent, responsible, professional Christ-filled life...... to extend to institutions as well!!Network now, by (1) forming the Christian Health-workers’ Networking Group, at this conference, which can also function as a Christian Health-workers’ Ambassador Group to government and church bodies and relevant NGOs;(2) establishing the 10th HCF Action Team Ministry: the “Linking with Churches and Students”-ministry... and activate it this coming week at our local HCFs;(3) Each organization represented here to network with their members according to their God-given priorities, flowing from this conference...(4) Each participant to actively seek to establish viable links and networks with individuals and groups and churches – to help fulfill our God-given goal... Focus on the Christian Education of Health Professionals by seeking to(1) occupy as many as possible educator positions;(2) start to arrange a National Christian Health-professions Educators’ Conference, in conjunction with Dr Chris Steyn and other local Christian Educators in the Health Field

Re-focus on Training, Development & Discipleship of all our members by(1) Actively reaching out and presenting seminars to especially the NEW nursing students (and medical students)...(2) Revitalize the regular presentation of relevant, inspiring, life-changing seminars and workshops for different healthcare-workers... (Pro 29:18 - “where there is no vision the people perish”)(3) Resuscitating (where necessary) the optimal functioning and GROWTH of local HCFs and Action Teams and branches of CMF, etc.... Get involved in health politics and management by seeking to(1) Attend Union meetings & to speak boldly for what is right and God-glorifying(2) Pray for leaders, management & politicians(3) Reach out and build bridges to hospital management - NB(4) Launch the Christian Health-workers’ Networking Group(5) Identify, support, feedback, lobby with Christians in management & policy-making(6) Be involved at government level and management level (private hospitals)(7) Be involved in planning and formulation of godly policies(8) Be ruled by God’s Spirit of Wisdom and Strength, and NOT by the spirit of fear...(9) Be bold for Jesus – humbly and to His glory! All to God’s glory!

5 5 Key areasKey areas

emergedemerged

5 5 Key areasKey areas

emergedemerged

5 5 Key AreasKey Areas/ / Action stepsAction steps to to Improve Quality of CareImprove Quality of Care

1.1. PersonalPersonal revival revival2.2. NetworkNetwork now... now...3.3. Christian Christian EducationEducation

of health professionals of health professionals4.4. TrainingTraining, development and , development and

discipleship discipleship5.5. Health Health politics & managementpolitics & management

PersonallyPersonally pray, repent, pray, repent,be revived & changedbe revived & changed

to be the loving light and salt and yeastto be the loving light and salt and yeast at home at home and in the workplace... with the Lord Jesus and in the workplace... with the Lord Jesus Christ as the Origin and Center and Goal of all... Christ as the Origin and Center and Goal of all... while while maintaining a strong, healthy personal maintaining a strong, healthy personal devotional lifedevotional life, , ...and maintaining a strong, loving, humble, holy, ...and maintaining a strong, loving, humble, holy, active, “on fire”, enthusiastic, bold, wise, active, “on fire”, enthusiastic, bold, wise, evangelistic, dedicated, diligent, responsible, evangelistic, dedicated, diligent, responsible, professional Christ-filled lifeprofessional Christ-filled life......This ... to extend to the This ... to extend to the institutions as wellinstitutions as well!!!!

OnlyOnly Whole Persons Whole Persons can practice can practice Whole Person CareWhole Person Care

......Christ-centered CareChrist-centered Care

NetworkNetwork now... now...

Form Form Christian Health-workers’ Christian Health-workers’ Networking GroupNetworking Group today today

Establish the 10th HCF Action Establish the 10th HCF Action Team Ministry: “Team Ministry: “Linking with Linking with Churches and StudentsChurches and Students””

Each organizationEach organization network with.... network with....

Each participantEach participant........

Christian Education Christian Education of Health Professionalsof Health Professionals

Occupy as many as possible Occupy as many as possible educator positionseducator positions

Arrange a Arrange a National Christian National Christian Health-professions Educators’ Health-professions Educators’ ConferenceConference

The heart The heart of education of education

is is the education the education

of of the the heartheart””

TrainingTraining, Development & , Development & DiscipleshipDiscipleship

NEW nursing studentsNEW nursing students & medical & medical students... students... Revitalize the regular presentation of Revitalize the regular presentation of relevant, inspiring, life-changing relevant, inspiring, life-changing seminarsseminars Resuscitate the optimal functioning & Resuscitate the optimal functioning & GROWTH of GROWTH of local HCFs and Action local HCFs and Action TeamsTeams and branches of CMF, etc.... and branches of CMF, etc....

1.1. PrayerPrayer2.2. EvangelismEvangelism3.3. DiscipleshipDiscipleship4.4. DevelopmentDevelopment5.5. Media Media 6.6. Camps, Conferences, SeminarsCamps, Conferences, Seminars7.7. FinanceFinance8.8. Children’s ministryChildren’s ministry9.9. Healthcare trends: HIV/AIDS, Healthcare trends: HIV/AIDS,

ethics, abortion, etc ethics, abortion, etc 10.10.Linking with Churches/StudentsLinking with Churches/Students

HCF Ministries

Health Health politicspolitics and and managementmanagement

AttendAttendPrayPrayReach out to managementReach out to managementChristian Health-workers’ Networking Christian Health-workers’ Networking GroupGroupSupportSupportBe involved...Be involved...No fearNo fearIn ChristIn Christ – – BOLDBOLD (humbly) (humbly)

What What is our is our GOAL?GOAL?

What What is our is our GOAL?GOAL?

Our Goal is God!Our Goal is God!

““The devil does not care The devil does not care how many hospitals we how many hospitals we build, …if only he can build, …if only he can

pull our ideals down, and pull our ideals down, and sidetrack us on to sidetrack us on to

anything of any sort anything of any sort except except the the livingliving of holy, of holy, loving, humble livesloving, humble lives, and , and

the the bringingbringing of men, of men, women, and children to women, and children to

know our Lord Jesus know our Lord Jesus ChristChrist not only as Savior not only as Savior but as Sovereign Lord.” but as Sovereign Lord.”

Amy Amy CarmichaelCarmichael

““The devil does not care The devil does not care how many hospitals we how many hospitals we build, …if only he can build, …if only he can

pull our ideals down, and pull our ideals down, and sidetrack us on to sidetrack us on to

anything of any sort anything of any sort except except the the livingliving of holy, of holy, loving, humble livesloving, humble lives, and , and

the the bringingbringing of men, of men, women, and children to women, and children to

know our Lord Jesus know our Lord Jesus ChristChrist not only as Savior not only as Savior but as Sovereign Lord.” but as Sovereign Lord.”

Amy Amy CarmichaelCarmichael

Let’s do itLet’s do itwith God’s help with God’s help and to His glory!and to His glory!

Come apart...Come apart...

Rest...Rest...

Re-fire...Re-fire...

Doctor

Doctor Patient

Christ-CenteredChrist-Centered

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Person of

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ClinicalClinicalDisease

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Disease-CenteredDisease-Centered

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Person of

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DoctorDoctor Patient

Doctor-CenteredDoctor-Centered

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