Roundtable Presentation Abstract: We present the background on evaluating performance of health providers using observations; discuss challenges and solutions in planning and carrying out the observations; caution against five types of variability that can affect data from observations; and discuss how to improve validity and reliability of observational data.#providerperformance #Performance #Observation #InternalEvaluation #InternationalandCross-CulturalEval #HealthEvaluation #Research,Technology,andDevelopmentEval #HowTo #performanceassessment #NeedsAssessment #2012Conference