Assessing performance in today's complex health care environment prese
nts a challenge to the nursing profession. In order to effectively eva
luate performance within this complex and evolving health care environ
ment, evaluation from multiple sources is required. This article descr
ibes a multidimensional performance measurement model that has patient
care delivery at the center. This model maybe used to evaluate perfor
mance of an individual provider or of an entire health care system.