As summarized by Groene et al. [15], each indicator project had different purposes and therefore used a different assessment model which comprised a different set of dimensions ,including various numbers of performance indicators. It was suggested that there has been yet no framework unanimously accepted as a tool for measuring quality and performance of healthcare services [16].Regardless of potential benefits from performance indicators, several difficulties and disadvantages have been pointed out for their applications to hospital management. Most performance measurement frameworks or tools included a large number of indicators, and there-fore great efforts were required to collect voluminous data for indicators [17]. Moreover, hospital managers and decision makers constantly suffered a problem for selecting proper ones among a vast, diversified set of indicators [18].These efforts must have led to administration fatigue and information overload [19].