Hospitals were grateful for the advance look they got of the value-based purchasing program, but the convoluted calculations have some nonplused. "Competition is so high that even if you are above the 90th percentile, you could still have a very poor score and leave money on the table," says Tami Lewis, of Robinson Memorial Hospital, Ravenna, Ohio. "How do you convey a message like that to employees?"
医院对提前了解基于价值的采购计划表示感激，但复杂的计算让一些人感到困惑。俄亥俄州拉文纳市罗宾逊纪念医院的塔米·刘易斯说：“竞争非常激烈，以至于即使你处于第90百分位以上，你仍然可能得分很低，把钱白白浪费掉。你如何向员工传达这样的信息呢？”
