Public reporting of health care system performance is promoted as a means for enhancing the value of health care by improving quality and lowering costs.1 Transparency can improve value by engaging physicians and health care organizations in quality improvement by appealing to their professionalism and stimulating competition among organizations, or by providing patients with information that enables them to select physicians and health centers that offer higher-quality services, lower-cost services, or both.2 There are several examples of success, such as the reporting of cardiac surgical outcomes from the Society of Thoracic Surgeons registry, reporting of measures of health care–associated infections from the Centers for Disease Control and Prevention, and measures of patient experience,3 but little evidence of broad and sustained improvements.
Austin JM, McGlynn EA, Pronovost PJ. Fostering Transparency in Outcomes, Quality, Safety, and Costs. JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039