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Queensland Paediatric Cardiac Service: Lessons from evolution to a unified service in a tertiary children's hospital
Author(s) -
Justo Robert,
Ward Cameron,
Slater Anthony,
McEniery Julie,
Sargent Phil,
Isles Alan,
Karl Tom R,
Alphonso Nelson
Publication year - 2020
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.14914
Subject(s) - medicine , service (business) , resistance (ecology) , corporate governance , nursing , health services , management , environmental health , business , ecology , population , biology , marketing , economics
We describe a complex change process for the paediatric cardiac service in Queensland that involved transitioning the service out of an essentially adult hospital into one of two children's hospitals in Brisbane. This initial step was complex as the governance was changed from Queensland Health to Mater Health, an independent faith‐based organisation who became the new employer. Six years later, the service was again transitioned; this time to the newly constructed Queensland Children's Hospital, with a Hospital and Health Services Board as the employer under the aegis of Queensland Health. This was a complex journey. As with all change processes there was resistance to change on the part of some individuals. Five years on from the second major change, the service is settled, has an excellent workplace culture, has excellent clinical outcomes and has become research intensive.