A medical organization is a complex body comprising different units and processes which unequivocally pose dilemmas related to hospital management. In this study, we summarize the requirements emerging from hospital indicators as they relate to medical management and propose a new architecture that can effectively support these requirements. The most important characteristics of this indicator based BI (BI) system are: (1) indicator data collection automation, (2) demonstration of a simplified BI key performance indicator (KPI) model using the Taiwan Quality Indicator (TQIP ) project, (3) provision of a convenient and effective graphical user interface, and (4) support for outer feedback information being rejoined into a Data Warehouse for indicator comparison analysis.