Measuring up improving health system performance in oecd countries the proceedings from the oecd canada conference measuring up improving health system performance in oecd countries held in november 2001 in ottawa looks at progress in pursuing a performance measurement and improvement cycle. Session 1 performance measurement and performance management an overview of issues and challenges measuring health system performance problems and opportunities in the era of assessment and accountability c david naylor faculty of medicine university of toronto karey iron and kiren handa institute for clinical evaluative sciences. Health policy makers have a growing interest in finding ways of encouraging health systems to improve their performance where performance is measured against quality efficiency or equity goals improving performance has the potential to reduce the tensions between rising demands and limited resources. Health care policy makers managers practitioners and experts from around the world will gather to discuss ways to evaluate and improve their healthcare systems at an international conference entitled organisation for economic co operation and development oecd