Limited research exists which aids in structuring health IT contracts in an era of performance-based payments. This session will provide an assessment of common approaches to contracting and measuring of performance in practice. We conducted a review of existing literature and compliment this approach with a survey of healthcare professionals directly involved with health IT systems. This was to further understand and classify current best practices and approaches. We identified architypes for structuring healthcare IT performance contracts to include: (1) internal operations, (2) external evaluation and (3) joint agreement for the delivery of value-based care. Findings include no one dominant or preferred method to assess system performance. In this session we will identify preferences for contracted terms and specifications moving forward; focusing on financial completeness, patient satisfaction, and other new and novel approaches.