The investigators hypothesize that common objections to P4P relate to potential loss of autonomy or concerns about adverse effects on patient care.

We seek to establish baseline attitudes about Pay for Performance (P4P) in the OUHSC Dept of Anesthesiology and determine what differences exist between faculty, CRNAs and residents. We plan to resurvey annually to determine if attitudes change as the department implements a P4P program. We hope that by understanding the attitudes of anesthesia care providers, we can alleviate their concerns. We hope to account for their concerns as we develop and modify our P4P program. We believe that acceptance of the general idea of P4P is important if individuals are to maintain job satisfaction.

Inclusion Criteria:

• All anesthesia care providers in the department

Exclusion Criteria:

• locum faculty members and CRNAs

anesthesia care providers