Abstract:Objective：To construct a new nursing performance evaluation and allocation system under the background of new medical reform to present fairness. Methods：A performance appraisal and allocation office was established，introducing a relative value ratio performance plan based on resource inputs，establishing a relative value comparison mechanism of the internal post of the hospital，to achieve separate assessment of medical care，nursing，medical technology，and administration. The performance allocationplan of the nursing unit was set up independently，taking the monthly average performance of the nursing unit as the effect evaluation indexes，and comparing the monthly averageperformance of the same period before and after the implementation of the performance evaluation plan. Results：After the implementation of the new performance evaluationplan，the performance allocation plan paid more attention to large workload，high risk and technical difficulty .The performance of monthly average care unit improved in the same period. Conclusions：Based on RBRVS，the workload-based nursing performance evaluationplan can reflect the quantity，difficulty，intensity and quality of work，and mobilize the enthusiasm of nursing staff，at the mean time，serve as the basis for the distribution of nursing performance.