In the summer of 2007 hospital CEOs and senior human resource executives were surveyed to explore patterns in the motivations, levels, metrics, and methods of incentive pay for hospital physician and administrative leaders. This report summarizing the national survey results notes that hospital boards are increasingly expanding their focus on quality and safety, and that boards and senior executives are building explicit measures for quality improvement into their incentive pay plans. The report is co-sponsored by The Governance Institute, the Institute for Healthcare Improvement, and Premier, Inc.