Lucy Faye Frederick holds a master of public health degree from Florida State University and specializes in health policy research. Following graduation she worked fi rst at Florida State University as research associate, then as health policy analyst for Florida Tax Watch, a nonprofi t policy analysis fi rm, and is presently on extended leave. She lives in South Florida.Citations to 159 pay-for-performance initiatives in health care settings were identifi ed. Th e search addressed studies in all health care settings, as there are too few studies of nursing homes alone to draw the broad lessons needed for application of pay for performance in the health care context. Briesacher et al. (2009) report that only 13 pay-for-performance studies have been conducted in nursing homes since 1990, only four with evaluation designs capable of reporting fi ndings, and only one had positive results-the San Diego study discussed later, which was done a decade earlier.