^{Objective: To describe key factors of advanced pediatric cardiac intensive care unit. To introduce concepts of teamwork, common perspective and scorecard, which measure excellence in such a new program.
Methods: Review of current clinical research data in concepts of teamwork, common perspective and scorecard. Compare clinical research data and administrative business between pediatric cardiac intensive care unit in China and USA.
Results: Clinical concepts are almost same in patients’ treatment in two countries. Principles are useful as basic philosophical strategies at the bedside. There is still difference on administrative principles, concepts, strategies, human resource and applications, which make different results.
Conclusions: Starting a pediatric cardiac intensive care program is vital to start and sustain excellence, as well as a difficult endeavor. Monitoring excellence in such a program warrants application of a scorecard system. Well administrative principles and effective application ensure the clinical strategy which is a combined clinical and administrative approach.
KEY WORDS: pediatric cardiac intensive care unit, administrative principles, operational strategies}