The Ohio State University Wexner Medical Center’s Chaplaincy Department leaders and staff recently developed a detailed and evidence-based strategic plan to improve quality of pastoral services and align appropriate level of staffing to services. A component of the plan was a proposal for increased services and staffing in The James Cancer Hospital, which culminated in senior leader approval of the proposal and the resulting hiring of 9 full-time chaplains. This session outlines elements of the strategic planning process and will discuss the key factors which led to this remarkable outcome.