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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 - p 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