Objective: On the basis of traditional financial supervision, to explore the theoretical research and practical exploration that hospitals urgently need to strengthen, and construct a management mechanism for budget performance evaluation and supervision of traditional Chinese medicine talent cultivation projects. Methods: The Delphi method and Analytic Hierarchy Process are used to construct a performance evaluation index system for traditional Chinese medicine talent cultivation projects, and a multi-dimensional performance evaluation system of “input-process-output-benefit” is designed. A specific performance evaluation analysis is conducted using the high-level talent cultivation project of the Traditional Chinese Medicine Qihuang Project at the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine as a case study. Results: The performance level of the high-level talent training project of the Chinese Medicine Qihuang Project in the Second Afflilated Hospital of Tianjin University of Traditional Chinese Medicine is good, but there are imperfections that need to be focused on and improved. Conclusion: By constructing a scientific performance evaluation system for traditional Chinese medicine talent cultivation and conducting scientific and objective financial supervision and evaluation, the performance evaluation management of traditional Chinese medicine talent cultivation projects has been improved, resource optimization allocation has been achieved, and the management level of hospital project has been promoted.