be rewarded for positive patient outcomes and penalized for poor performance. Hospital Readmission Reduction programs have been shown to significantly reduce readmission rates and lengths of stay after surgical procedures (Ibrahim, Nathan, Thumma & Dimick, 2017). In value-based purchasing programs, hospitals are assigned scores based on improvements over their baseline performance levels in areas such as clinical care, safety and care coordination. THR will establish incentives based on patient outcomes
