The Fund's Commission on a High Performance Health System is developing a national scorecard that highlights and tracks how well the health system in the United States is performing overall, relative to best achieved performance in the United States or in other nations. This project will expand on the national scorecard by developing a companion scorecard that assesses health system performance at the state level. With a small planning grant, the Rutgers Center for State Health Policy adapted national indicators for use at the state level, identified appropriate data sources, and explored opportunities to acquire the information needed for the scorecard. The proposed grant covers all data collection and analysis, writing, and graphic production necessary to assemble the state-level scorecard. Findings will be targeted to state and local governments to assist them in setting policy priorities.