You meet a colleague at a bar after an ACHE meeting. The colleague says, $"$I$\text{'}$m scared of this incentive pay that all the Baldrige winners are using. Incentive pay has a long history, a lot of it bad. We might be walking into real trouble." You don't have to reply, but you think about it$.$ He's right about the history. Yet the approach seems to be working at your HCO and many others. What are the factors that have made it a success?

It is outcomes driven, with negotiated goals supported by tested process changes and training.

It is outcomes driven, with negotiated goals supported by training and $90-$day plans for recovery.

It is outcomes driven, with negotiated goals supported by tested process changes, training. and $90-$day plans for recovery.

It is outcomes driven, with negotiated goals supported by tested process changes, training. and $90-$day plans for recovery, and supported by unions.