Hospital valued based purchasing is based on how well hospitals do, such as having a positive outcome. There are four domains that reflect hospital quality which are clinical process of care domain, patient experiences of care domain, the outcome domain and the efficiency domain ("About Hospital Compare Data Overview," n.d.). Patients are asked how their visit and stay were while being seen. They also evaluated their treatment experiences and doctors. Patients were asked how organized the hospital was. CMS added an adjustment factor for induction in valued based purchasing and readmission reduction. This factor is applied for all hospital payments for each Medicare patient who is admitted (Rau, 2013). The hospital will receive an incentive
