A system and methods for evaluating quality and cost efficiency of a healthcare service to a patient are presented. In one embodiment, the system may include a merged database comprising administrative data and clinical data, a cost-of-care efficiency engine coupled to the merged database, the cost efficiency engine configured to analyze the merged clinical data and administrative data to determine a measurement of cost efficiency, a quality engine coupled to the merged database, the quality engine configured to analyze the merged clinical data and administrative data to determine a compliance value, wherein the compliance value indicates a level of compliance with a clinical guideline, and a reporting application coupled to the cost efficiency engine and the quality engine, the reporting application configured to generate a report representing at least one of the measurement of cost efficiency and the compliance value.