Leadership for Leadership for Christian Christian

Healthcare Healthcare

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

The Great Commission, The Great Commission, Matthew 28: 18-20Matthew 28: 18-20

A Commission for Global TransformationA Commission for Global Transformation Christians: change agents of God (Salt and light)Christians: change agents of God (Salt and light) Transformation through relational networks (love Transformation through relational networks (love

God and love your neighbor as yourself)God and love your neighbor as yourself) Covers all areas of life (all authority heaven/earth)Covers all areas of life (all authority heaven/earth) Signs of the Kingdom signaling Christ’s victory on Signs of the Kingdom signaling Christ’s victory on

the Cross, also in the health field = our the Cross, also in the health field = our responsibility responsibility work is ministry work is ministry

Not heaven on earth / no Utopia / no Not heaven on earth / no Utopia / no triumphalism / no mere horizontal activismtriumphalism / no mere horizontal activism

Seven Characteristics of Seven Characteristics of Christ’s CommissionChrist’s Commission

1.1. Authoritative – exousia = dignity, authorization, Authoritative – exousia = dignity, authorization, gloryglory

2.2. Mobilizing – poreuthentes = literally: having gone Mobilizing – poreuthentes = literally: having gone / as you go/ as you go

3.3. Discipling / Mentoring - mathiteusate Discipling / Mentoring - mathiteusate multiply multiply leadersleaders

4.4. Incorporating – baptism: presupposes Incorporating – baptism: presupposes evangelism and intercessionevangelism and intercession

5.5. Cross-cultural - panta ta ethniCross-cultural - panta ta ethni6.6. Educative – didaskEducative – didaskō – teach all things…ō – teach all things…7.7. Encouraging – I am with you all the days… Encouraging – I am with you all the days…

Christian leadershipChristian leadership

Leadership = influence + focusLeadership = influence + focus Leadership development is a lifetime learning Leadership development is a lifetime learning

process that goes through various phasesprocess that goes through various phases Six development phases:Six development phases:

1.1. Phase I‑ Sovereign foundationsPhase I‑ Sovereign foundations2.2. Phase II‑ Inner‑life GrowthPhase II‑ Inner‑life Growth3.3. Phase III‑ Ministry maturingPhase III‑ Ministry maturing4.4. Phase IV‑Life maturingPhase IV‑Life maturing5.5. Phase V‑ConvergencePhase V‑Convergence6.6. Phase VI‑Afterglow or celebrationPhase VI‑Afterglow or celebration

Phase I: Sovereign foundationsPhase I: Sovereign foundations

God is developing the leader by laying foundations in his life, God is developing the leader by laying foundations in his life, this is a sovereign operation. this is a sovereign operation.

God works through God works through Family / tribe / people / nation: even if your family/tribe/people/nation was Family / tribe / people / nation: even if your family/tribe/people/nation was

not perfect / Christian / rich etcnot perfect / Christian / rich etc Environment: even if some think it was wrong environmentEnvironment: even if some think it was wrong environment Historical events: God wants to use whatever happens to us to shape us Historical events: God wants to use whatever happens to us to shape us

as leaders.as leaders. The potential leader The potential leader

has little control has little control should learn to respond positively should learn to respond positively take advantage of what God has laid in these foundations. take advantage of what God has laid in these foundations.

Prayer of surrender and acceptance of the foundations God has Prayer of surrender and acceptance of the foundations God has sovereignly laid in your lifesovereignly laid in your life

Phase II: Inner life Phase II: Inner life GrowthGrowth

Getting to know God betterGetting to know God better Learning the importance of prayer and obedience Learning the importance of prayer and obedience Growing in discernment and understandingGrowing in discernment and understanding Getting involved in ministry and learning by doing Getting involved in ministry and learning by doing new new

inner‑life lessons. inner‑life lessons. Being put to the test repeatedly. God wants to use testing Being put to the test repeatedly. God wants to use testing

experiences to develop character: experiences to develop character: Good response Good response learn the fundamental lessons God is learn the fundamental lessons God is

teaching you. Result: expanded ministry and greater teaching you. Result: expanded ministry and greater responsibility.responsibility.

Poor response Poor response waiting till another time to be tested waiting till another time to be tested again in the same areas. again in the same areas.

Phase III: Ministry maturingPhase III: Ministry maturing

Ministry is the big focus. Ministry is the big focus. Experimenting with gifts and talents. Experimenting with gifts and talents. May get training to be more effective. May get training to be more effective. Also reaching out others. Also reaching out others. God is developing the leader in two ways:God is developing the leader in two ways:

Through ministry the leader identifies gifts, talents and skills and Through ministry the leader identifies gifts, talents and skills and learns how to use them with increasing effectivenesslearns how to use them with increasing effectiveness

Learns more about relationships in the Body of Christ. These Learns more about relationships in the Body of Christ. These relationship experiences teach both negative and positive relationship experiences teach both negative and positive lessons. The negative experiences in our relationships with lessons. The negative experiences in our relationships with co‑workers are critical to our maturing. The lessons bring co‑workers are critical to our maturing. The lessons bring personal inadequacies to the surface so that God can deal with personal inadequacies to the surface so that God can deal with themthem

What is the focus of first What is the focus of first three phases?three phases?

God is working primarily in the leader, and not God is working primarily in the leader, and not through him or her. through him or her.

Many emerging leaders don’t recognize this Many emerging leaders don’t recognize this and become frustrated. They are constantly and become frustrated. They are constantly evaluating their ministry through productivity evaluating their ministry through productivity and activity while God is quietly evaluating and activity while God is quietly evaluating their leadership potential and working their leadership potential and working character in their lives for He wants to teach us character in their lives for He wants to teach us how to minister out of what we are in Christhow to minister out of what we are in Christ

Ministry activity and fruitfulness are not the Ministry activity and fruitfulness are not the focus of these three phases, although we can focus of these three phases, although we can be very busy in ministry all the waybe very busy in ministry all the way

Phase IV: Life maturingPhase IV: Life maturing Uses talents / spiritual gifts in a satisfying and effective ministryUses talents / spiritual gifts in a satisfying and effective ministry Has prioritized the best use of talents / gifts because learning what not to do Has prioritized the best use of talents / gifts because learning what not to do

is as important as learning what to do. is as important as learning what to do. Result = mature fruitfulness Result = mature fruitfulness Isolation, crisis and conflict are valuable learning experiences Isolation, crisis and conflict are valuable learning experiences The principle that ministry flows out of being has new significance as the The principle that ministry flows out of being has new significance as the

leaders character mellows and matures.leaders character mellows and matures. Leader’s experiential understanding of God is being developed. Leader’s experiential understanding of God is being developed. Communion with God becomes foundational; it is more important than Communion with God becomes foundational; it is more important than

success in ministry. success in ministry. Through this change, the ministry itself takes on an increased relevance and Through this change, the ministry itself takes on an increased relevance and

fruitfulness. fruitfulness. The key to development during this phase is a positive response to the The key to development during this phase is a positive response to the

experiences God ordains. This response will deepen communion with God experiences God ordains. This response will deepen communion with God that will become the base for lasting and effective ministry.that will become the base for lasting and effective ministry.

Phase V: ConvergencePhase V: Convergence

Convergence of life maturing and ministry maturingConvergence of life maturing and ministry maturing God moves leader into role that matches gift‑mix and God moves leader into role that matches gift‑mix and

experience so that ministry is maximized. experience so that ministry is maximized. Many leaders do not experience convergence because:Many leaders do not experience convergence because:

hindered by own lack of personal development, hindered by own lack of personal development, organization keeps leader in a limiting position where gifts/talents organization keeps leader in a limiting position where gifts/talents

are not optimally utilizedare not optimally utilized The major development task is to guide leader into a role The major development task is to guide leader into a role

and place where he can have maximum effectiveness. and place where he can have maximum effectiveness. Leader to trust Gods guidance, rest in faith and watch as Leader to trust Gods guidance, rest in faith and watch as

God moves him toward a ministry that embodies all the God moves him toward a ministry that embodies all the development of preceding phases.development of preceding phases.

Phase VI: Afterglow / celebrationPhase VI: Afterglow / celebration

The fruit of a lifetime of ministry and growth The fruit of a lifetime of ministry and growth culminate in an era of recognition and indirect culminate in an era of recognition and indirect influence at broad levels. influence at broad levels.

Leaders in afterglow have built up a lifetime of Leaders in afterglow have built up a lifetime of contacts and continue to exert influence in contacts and continue to exert influence in these relationships. these relationships.

Others will seek them out because of their Others will seek them out because of their consistent track record in following God. consistent track record in following God.

Their storehouse of wisdom gathered over a Their storehouse of wisdom gathered over a lifetime of leadership will continue to bless and lifetime of leadership will continue to bless and benefit many. benefit many.

Checkpoint: Where are you?Checkpoint: Where are you?

1.1. Phase I: Sovereign foundationsPhase I: Sovereign foundations

2.2. Phase II: Inner‑life GrowthPhase II: Inner‑life Growth

3.3. Phase III: Ministry maturingPhase III: Ministry maturing

4.4. Phase IV: Life maturingPhase IV: Life maturing

5.5. Phase V: ConvergencePhase V: Convergence

6.6. Phase VI: Afterglow or celebrationPhase VI: Afterglow or celebration

What is Christian Healthcare?What is Christian Healthcare?

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

World view (basic beliefs) + World view (basic beliefs) + healthcarehealthcare

GodGod

Human beingHuman being

Ethics/Values/NormsEthics/Values/Norms

Truth/Science/ResearchTruth/Science/Research

Health/Disease/DeathHealth/Disease/Death

Vision of healthcareVision of healthcare

Healthcare practiceHealthcare practice

Christian healthcare: TPCChristian healthcare: TPC

God: Theism; for Christian: Christ-centredGod: Theism; for Christian: Christ-centred Human: imager Human: imager 10-facetted whole 10-facetted whole Ethics: authoritative framework re good/evilEthics: authoritative framework re good/evil Spirituality: In relation to God through ChristSpirituality: In relation to God through Christ Health: 10-facetted shalom Health: 10-facetted shalom Healthcare: focused 10-facetted ministryHealthcare: focused 10-facetted ministry Aim: specific contribution to shalomAim: specific contribution to shalom Driving force: agape-loveDriving force: agape-love Care-giver: called professional stewardCare-giver: called professional steward

Total health: Optimal shalom in all of life

Minimum Maximum

1.Faith2.Ethical

3. Judicial4.Aesthetic5.Economic

6.Social7.Linguistic

8.Cultural/technical9.Psychological

10.Somatic

WHO: Only 4 of 10

A national healthcare systemA national healthcare system

Levels Levels

Elements Elements

MacroMacro(national / global)(national / global)

MesoMeso(institutional)(institutional)

MicroMicro(interpersonal)(interpersonal)

PolicyPolicy

TechnologyTechnology

StructureStructure

FinanceFinance

PeoplePeople

Bulgarian healthcare: Bulgarian healthcare: developmentsdevelopments

1.1. Some new very modern specialized Some new very modern specialized clinicsclinics

2.2. Specialists well-trainedSpecialists well-trained3.3. Many new / modern medicines Many new / modern medicines

availableavailable4.4. New / modern technologies have New / modern technologies have

become availablebecome available

Special problems in Special problems in BulgariaBulgaria Staff discouragedStaff discouraged

Financial problemsFinancial problems Lack of finances Lack of finances bad situation in many hospitals bad situation in many hospitals Low income some categories of healthcare workersLow income some categories of healthcare workers Many without health insurance (unemployed, Many without health insurance (unemployed,

students)students) Management problemsManagement problems

CorruptionCorruption Inadequate healthcare reform program Inadequate healthcare reform program

Care delivery problemsCare delivery problems Disappointment with official medicine Disappointment with official medicine flow flow

towards alternative practicestowards alternative practices

How to solve Bulgarian How to solve Bulgarian healthcare problems?healthcare problems?

Secular approaches Secular approaches Usually begins with policy, structure, technologyUsually begins with policy, structure, technology Healthcare = managed system for healthcare deliveryHealthcare = managed system for healthcare delivery Major problem 1: not enough moneyMajor problem 1: not enough money Major problem 2: the peopleMajor problem 2: the people

Christian approachChristian approach Begins with people in the Great Commission contextBegins with people in the Great Commission context Healthcare = complex matrix of relational networksHealthcare = complex matrix of relational networks Major problem 1: Dualistic ChristianityMajor problem 1: Dualistic Christianity Major problem 2: Reductionistic ChristianityMajor problem 2: Reductionistic Christianity Major problem 3: Great Omission ChristiansMajor problem 3: Great Omission Christians

Your answers:Your answers: How to solve… How to solve…

1.1. Do not know what to do… Do not know what to do…

In what areas can our organization In what areas can our organization help transform the healthcare system?help transform the healthcare system?

Levels Levels

Elements Elements

MacroMacro(national / global)(national / global)

MesoMeso(institutional)(institutional)

MicroMicro(interpersonal)(interpersonal)

PolicyPolicy

TechnologyTechnology

StructureStructure

FinanceFinance

PeoplePeople

Which two areas can we start with?

Appointed

authorityX X

XX

X

XX

What can our organization do at a What can our organization do at a Micro level? Micro level?

Get to know one another, exchange infoGet to know one another, exchange info In work: be faithful; learn from non-Christians;In work: be faithful; learn from non-Christians; ProblemsProblems

Trying to solve problems in own strength without GodTrying to solve problems in own strength without God Staff exploited: junior doctors, nurses,Staff exploited: junior doctors, nurses,

ActionAction Build relationship with the Lord / Prayer for wisdom to Build relationship with the Lord / Prayer for wisdom to

solve problemssolve problems Take initiative for comprehensive approachTake initiative for comprehensive approach Fight for truth / rights / Obtain legal advice to counter Fight for truth / rights / Obtain legal advice to counter

exploitationexploitation

What do at meso level? What do at meso level?

Make effective network of Christian doctors:Make effective network of Christian doctors: Make list of Christian specialistsMake list of Christian specialists Build relationships between them:Build relationships between them:

InterpersonalInterpersonal Inter-practice / inter-clinicInter-practice / inter-clinic

MeetingsMeetings Action:Action:

Better PR/FR of CMABetter PR/FR of CMA Better link CMA – local churchesBetter link CMA – local churches Christian doctors: free outreach ministriesChristian doctors: free outreach ministries Christian hospicesChristian hospices

What do at macro level?What do at macro level?

CMA organization needs to improveCMA organization needs to improve Prayer: mtg q 1/12 (Anni); prayer coordinators in big towns; Prayer: mtg q 1/12 (Anni); prayer coordinators in big towns; Organization structure renewed: regional / localOrganization structure renewed: regional / local Better PR/FR: churches, media, professional journalsBetter PR/FR: churches, media, professional journals

Ethical concept for CMAEthical concept for CMA Relationships medical workers – patientsRelationships medical workers – patients

Contact parliament / ministry / other institutions: Contact parliament / ministry / other institutions: internet etc: presentations to govt and other officialsinternet etc: presentations to govt and other officials

Networking with other organizations / NGO’s (Christian Networking with other organizations / NGO’s (Christian and non-Christianand non-Christian

Things to doThings to do

National committee to encourage:National committee to encourage: Working group: anti-exploitation A+AWorking group: anti-exploitation A+A Christian h/c workers networks in: Sofia, Christian h/c workers networks in: Sofia,

Plovdiv and Assenovgrad, Varna: start with Plovdiv and Assenovgrad, Varna: start with list : name profession e-mail or tellist : name profession e-mail or tel

PR/FR action groupPR/FR action group National policy group: privatization of National policy group: privatization of

hospitals; bankruptcy; hospitals; bankruptcy; National networking groupNational networking group