Abstract: A system and process are presented in which the factors of quality, cost, and access are integrated in such a manner as to provide a holistic description of the effectiveness of care at medical treatment facilities (MTFs). By using medical treatment data from a variety of computerized databases and incorporating patient perceptions of care through the use of surveys, the effectiveness of a particular facility's medical care can be compared to other medical care facilities. Deficiencies in performance are readily identified through this process, permitting goals and targets to be established that provide direction for medical administrators to enhance medical care at their treatment facilities. This approach is applicable to any set of medical care facilities, and also to just about any organized human endeavor involving quality, cost and access factors.