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How to start and sustain a successful pediatric cardiac intensive care program: A combined clinical and administrative strategy

Chang, Anthony C. MD, MBA

Pediatric Critical Care Medicine: April 2002 - Volume 3 - Issue 2 - pp 107-111
Invited Feature Reviews

Objective: To delineate key clinical and administrative factors in starting a pediatric cardiac intensive care program and to introduce a scorecard concept to measure excellence in such a new program.

Methods: Review of current clinical research data in pediatric cardiac intensive care and administrative business concepts for their application to the pediatric cardiac intensive care program.

Results: Although clinical concepts in cardiac intensive care are useful as basic philosophical strategies at the bedside, administrative principles are essential in operational strategies vital to the success of such a program. Using both clinical and business administrative concepts, a balanced strategy can be formulated.

Conclusions: Starting a pediatric cardiac intensive care program is a difficult endeavor. A combined clinical and administrative approach is needed in starting and sustaining excellence in a pediatric cardiac intensive care program. Monitoring excellence in such a program warrants application of a scorecard system.

From the Division of Cardiology and the Cardiac Intensive Care Unit, Texas Children’s Hospital, Houston, TX.

Address requests for reprints to: Anthony C. Chang, MD, MBA, The Heart Center, Texas Children’s Hospital, 6621 Fannin Street, MC 19345-C, Houston, TX 77030. E-mail:

©2002The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies