Abstract:Objective：To discuss the achievements and effects of acertaingrade Atertiarypublic hospital in promoting the performance appraisal of national tertiary public hospitals，adjust the direction of hospital development and implement measures for continuous improvement，and gradually achieve the goal of modern hospital construction. Methods：According to the four year performance appraisal results of a certain grade A tertiary general hospital from 2018 to 2021 publicized on the national public performance appraisal management platform，combined with the development direction of the hospital，the hospital's internal and external performance appraisal system was built，and the effectiveness of the performance appraisal was evaluated by sorting out and analyzing the data. Results：The national monitoring and assessment indicators are 1，000 points in total，and the evaluation grade is divided into 9 “C~A++”.In 2018-2021，the assessment score of a certaingrade Atertiarygeneral hospital was 722.6~744.8 points，all of which were evaluated as A level. The national hospital ranked 135~222 in scores，168~269 in CMI，129~235 in scientific research funds，and 276~327 in the number of fourth class operations. The assessment index includes four dimensions of “medical quality，operational efficiency，sustainable development and satisfaction evaluation”，among which the maximum difference of “medical quality” in four years is 51.8 points，and the maximum difference of “sustainable development” is 41.8 points. Conclusion：Through the analysis of the performance appraisal results of the national tertiary public hospitals，we found the outstanding problems and weak links in a certaingrade Atertiary general hospital，found the right position，followed the national policies，promoted the implementation of rectification，further improved the level of medical quality and service ability，and achieved high-quality development of public hospitals.