Demonstration Project Hospital-what does that mean?. The CMS Premier Demonstration project began in 2003 St. Mary's is the only participating hospital in Colorado.The CMS/ Premier Demonstration Project was developed to evaluate the effectiveness Pay for Performance incentives to improve quality of care. The data on the first three years of the project has shown that performance in these evidenced-based indicators has exceeded those of other hospitals without the incentive. Often, measures tr30209
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