Surviving change: one district health board's experience

This qualitative evaluation examines critical steps the Moose Jaw-Thunder Creek District Health Board initiated to address health reform; in particular, the adoption of a governance philosophy, restructuring of services, development of a comprehensive planning process, and implementation of a communication strategy. The outcome has been a yearly health plan that maintains quality health services; provides opportunities for service growth, client-centred health delivery and increased accountability through defined outcomes; and ensures that the Board ends the year with a balanced budget.