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Abstract

Catholic Healthcare Partners (CHP) is the largest health care provider in Ohio, with other hospitals located in Kentucky, Pennsylvania, and Tennessee. It is organized into 9 regional service areas in 5 states and includes 29 hospitals. When, in July 2003, Health and Human Services (HHS) Secretary Tommy G. Thompson announced a hospitalbased pay-for-performance (P4P) demonstration project involving Premier, Inc., hospitals in CHP’s network had to decide whether or not to participate. Because Premier, Inc. required that hospitals renew a subscription to a relatively expensive database tool as a condition for participation, cost was a limiting factor.



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