 Zegers and colleagues' research suggests that quality monitoring and improvement can be simplified by reducing the number of measures used, as well as focusing on the validity of clinical evidence behind each measure. However, this approach does not go far enough. It is important to also consider the relationship between the purpose of the performance measure, the subject being evaluated, and the consumer using the information for decision-making. This tripartite framework provides a path forward for more effective health care performance measurement systems. This article was authored by Sylvia J. Heissang, Patrick Omehen, Johan Profit, and others.