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Priority First: The Risk-Based Prioritization Framework and the Shift-Start Scan
Paperback
Series: Operational Excellence in Healthcare Chaplaincy, Book 2
Business GeneralMedical Reference
Publisher: Independently Published
Published: Oct 5 2026
Pages: 100
Weight: 0.32
Height: 0.21 Width: 6.00 Depth: 9.00
Language: English
Your chaplains start every shift behind. What if they didn't?
Every shift, your chaplains walk into a full census and a referral list that tells them nothing. The referrals say patient requests chaplain. They don't say who is dying alone, who is stuck in spiritual distress, or who will crash before anyone calls. So your team works the list in order, and the highest-risk patients wait the longest.
Most chaplaincy departments triage by instinct and habit. That isn't enough. Not when the evidence shows which patients carry the most spiritual risk, and not when a ten-minute scan at the start of every shift can surface them before the day runs away.
Priority First is Book 2 of the Operational Excellence in Healthcare Chaplaincy series, a field guide for chaplaincy managers and directors who are done letting the loudest referral set the day's agenda.
This book won't teach you to be a chaplain. You already know that work. It will teach you to run a department that reaches the right patient first, every shift, on purpose.
Inside, you'll learn:
- Why referral lists miss the highest-risk patients, and what to use instead
- The five priority factors that put real spiritual risk ahead of first-come-first-served
- The 10-minute shift-start scan that surfaces the day's highest-risk patients
- The override rule that lets a chaplain break the order when judgment says so
- How to run the 3-to-5-minute huddle and sequence visits across ICU, ED, oncology, and palliative care
- What changes on solo shifts and nights, and how to roll all of it out in 90 days
Built on current research, real operational experience inside major health systems, and a deep respect for what chaplaincy actually is, this is the system that turns good intentions into reliable coverage.
If you've ever ended a shift knowing someone needed you and you never got there, this book is where that changes.
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