Leadership for Christian Healthcare

1
Leadership for Christian Healthcare

• A case study of Bulgaria 2004
• Matthew 28 18-20

2
The Great Commission, Matthew 28 18-20

• A Commission for Global Transformation
• Christians change agents of God (Salt and light)
• Transformation through relational networks (love
  God and love your neighbor as yourself)
• Covers all areas of life (all authority
  heaven/earth)
• Signs of the Kingdom signaling Christs victory
  on the Cross, also in the health field our
  responsibility ? work is ministry
• Not heaven on earth / no Utopia / no triumphalism
  / no mere horizontal activism

3
Seven Characteristics of Christs Commission

1. Authoritative exousia dignity, authorization,
   glory
2. Mobilizing poreuthentes literally having
   gone / as you go
3. Discipling / Mentoring - mathiteusate ? multiply
   leaders
4. Incorporating baptism presupposes evangelism
   and intercession
5. Cross-cultural - panta ta ethni
6. Educative didasko teach all things
7. Encouraging I am with you all the days

4
Christian leadership

• Leadership influence focus
• Leadership development is a lifetime learning
  process that goes through various phases
• Six development phases
• Phase I- Sovereign foundations
• Phase II- Inner-life Growth
• Phase III- Ministry maturing
• Phase IV-Life maturing
• Phase V-Convergence
• Phase VI-Afterglow or celebration

5
Phase I Sovereign foundations

• God is developing the leader by laying
  foundations in his life, this is a sovereign
  operation.
• God works through
• Family / tribe / people / nation even if your
  family/tribe/people/nation was not perfect /
  Christian / rich etc
• Environment even if some think it was wrong
  environment
• Historical events God wants to use whatever
  happens to us to shape us as leaders.
• The potential leader
• has little control
• should learn to respond positively
• take advantage of what God has laid in these
  foundations.
• Prayer of surrender and acceptance of the
  foundations God has sovereignly laid in your life

6
Phase II Inner life Growth

• Getting to know God better
• Learning the importance of prayer and obedience
• Growing in discernment and understanding
• Getting involved in ministry and learning by
  doing ? new inner-life lessons.
• Being put to the test repeatedly. God wants to
  use testing experiences to develop character
• Good response ? learn the fundamental lessons God
  is teaching you. Result expanded ministry and
  greater responsibility.
• Poor response ? waiting till another time to be
  tested again in the same areas.

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Phase III Ministry maturing

• Ministry is the big focus.
• Experimenting with gifts and talents.
• May get training to be more effective.
• Also reaching out others.
• God is developing the leader in two ways
• Through ministry the leader identifies gifts,
  talents and skills and learns how to use them
  with increasing effectiveness
• Learns more about relationships in the Body of
  Christ. These relationship experiences teach both
  negative and positive lessons. The negative
  experiences in our relationships with co-workers
  are critical to our maturing. The lessons bring
  personal inadequacies to the surface so that God
  can deal with them

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What is the focus of first three phases?

• God is working primarily in the leader, and not
  through him or her.
• Many emerging leaders dont recognize this and
  become frustrated. They are constantly evaluating
  their ministry through productivity and activity
  while God is quietly evaluating their leadership
  potential and working character in their lives
  for He wants to teach us how to minister out of
  what we are in Christ
• Ministry activity and fruitfulness are not the
  focus of these three phases, although we can be
  very busy in ministry all the way

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Phase IV Life maturing

• Uses talents / spiritual gifts in a satisfying
  and effective ministry
• Has prioritized the best use of talents / gifts
  because learning what not to do is as important
  as learning what to do.
• Result mature fruitfulness
• Isolation, crisis and conflict are valuable
  learning experiences
• The principle that ministry flows out of being
  has new significance as the leaders character
  mellows and matures.
• Leaders experiential understanding of God is
  being developed.
• Communion with God becomes foundational it is
  more important than success in ministry.
• Through this change, the ministry itself takes on
  an increased relevance and fruitfulness.
• The key to development during this phase is a
  positive response to the experiences God ordains.
  This response will deepen communion with God
  that will become the base for lasting and
  effective ministry.

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Phase V Convergence

• Convergence of life maturing and ministry
  maturing
• God moves leader into role that matches gift-mix
  and experience so that ministry is maximized.
• Many leaders do not experience convergence
  because
• hindered by own lack of personal development,
• organization keeps leader in a limiting position
  where gifts/talents are not optimally utilized
• The major development task is to guide leader
  into a role and place where he can have maximum
  effectiveness.
• Leader to trust Gods guidance, rest in faith and
  watch as God moves him toward a ministry that
  embodies all the development of preceding phases.

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Phase VI Afterglow / celebration

• The fruit of a lifetime of ministry and growth
  culminate in an era of recognition and indirect
  influence at broad levels.
• Leaders in afterglow have built up a lifetime of
  contacts and continue to exert influence in these
  relationships.
• Others will seek them out because of their
  consistent track record in following God.
• Their storehouse of wisdom gathered over a
  lifetime of leadership will continue to bless and
  benefit many.

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Checkpoint Where are you?

• Phase I Sovereign foundations
• Phase II Inner-life Growth
• Phase III Ministry maturing
• Phase IV Life maturing
• Phase V Convergence
• Phase VI Afterglow or celebration

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What is Christian Healthcare?

• Before we seek to answer that question, let us
  first take a closer look at the relationship
  between world view and healthcare

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World view (basic beliefs) healthcare
Healthcare practice
Vision of healthcare
Health/Disease/Death
Truth/Science/Research
Ethics/Values/Norms
Human being
God
15
Christian healthcare TPC

• God Theism for Christian Christ-centred
• Human imager ? 10-facetted whole
• Ethics authoritative framework re good/evil
• Spirituality In relation to God through Christ
• Health 10-facetted shalom
• Healthcare focused 10-facetted ministry
• Aim specific contribution to shalom
• Driving force agape-love
• Care-giver called professional steward

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Total health Optimal shalom in all of life

1. Faith
2. Ethical
3. Judicial
4. Aesthetic
5. Economic
6. Social
7. Linguistic
8. Cultural/technical
9. Psychological
10. Somatic

Minimum
Maximum
WHO Only 4 of 10
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A national healthcare system
Levels ? Elements ? Macro (national / global) Meso (institutional) Micro (interpersonal)
Policy
Technology
Structure
Finance
People
18
Bulgarian healthcare ? developments

1. Some new very modern specialized clinics
2. Specialists well-trained
3. Many new / modern medicines available
4. New / modern technologies have become available

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Special problems in Bulgaria

• Staff discouraged
• Financial problems
• Lack of finances ? bad situation in many
  hospitals
• Low income some categories of healthcare workers
• Many without health insurance (unemployed,
  students)
• Management problems
• Corruption
• Inadequate healthcare reform program
• Care delivery problems
• Disappointment with official medicine ? flow
  towards alternative practices

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How to solve Bulgarian healthcare problems?

• Secular approaches
• Usually begins with policy, structure, technology
• Healthcare managed system for healthcare
  delivery
• Major problem 1 not enough money
• Major problem 2 the people
• Christian approach
• Begins with people in the Great Commission
  context
• Healthcare complex matrix of relational
  networks
• Major problem 1 Dualistic Christianity
• Major problem 2 Reductionistic Christianity
• Major problem 3 Great Omission Christians

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Your answers How to solve

1. Do not know what to do

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In what areas can our organization help transform
the healthcare system?
Levels ? Elements ? Macro (national / global) Meso (institutional) Micro (interpersonal)
Policy
Technology
Structure
Finance
People
X
X
Appointed authority
X
X
X
X
X
Which two areas can we start with?
23
What can our organization do at a Micro level?

• Get to know one another, exchange info
• In work be faithful learn from non-Christians
• Problems
• Trying to solve problems in own strength without
  God
• Staff exploited junior doctors, nurses,
• Action
• Build relationship with the Lord / Prayer for
  wisdom to solve problems
• Take initiative for comprehensive approach
• Fight for truth / rights / Obtain legal advice to
  counter exploitation

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What do at meso level?

• Make effective network of Christian doctors
• Make list of Christian specialists
• Build relationships between them
• Interpersonal
• Inter-practice / inter-clinic
• Meetings
• Action
• Better PR/FR of CMA
• Better link CMA local churches
• Christian doctors free outreach ministries
• Christian hospices

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What do at macro level?

• CMA organization needs to improve
• Prayer mtg q 1/12 (Anni) prayer coordinators in
  big towns
• Organization structure renewed regional / local
• Better PR/FR churches, media, professional
  journals
• Ethical concept for CMA
• Relationships medical workers patients
• Contact parliament / ministry / other
  institutions internet etc presentations to govt
  and other officials
• Networking with other organizations / NGOs
  (Christian and non-Christian

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Things to do

• National committee to encourage
• Working group anti-exploitation AA
• Christian h/c workers networks in Sofia, Plovdiv
  and Assenovgrad, Varna start with list name
  profession e-mail or tel
• PR/FR action group
• National policy group privatization of
  hospitals bankruptcy
• National networking group