The paper proposes that the objectives design and detailed implementation should bring into correspondence with the aim embodied in the quality guidelines; the quality objectives of hospitals should reveal the hospital features and their advanced profile.It analyzes steps and perspectives of objectives design and discusses how to form a objective system from management system performance objective, resources management objective and objectives in processing, furthermore, points out that domestic medical institution should have a effective strategy management and performance management tool,presuming that balanced scorecard would be a reasonable choice.