"Transparency," she continues, "is how you build community support. You start to build bridges with other providers in the community that you need to be working with and that's how you build trust."
Binder says many employer groups are worried about accountable care organizations, because they fear "here's just another monopoly in the community that will give them fewer opportunities to contract; they'll just raise costs and employers won't know why. But hospital transparency is the way to break down suspicions."
Another thing hospital quality leaders should brace themselves for, Binder says, is precise percentage point scoring as opposed to the way Hospital Compare posts data today, which tells consumers and other providers very little. For example, she says about 95% of the hospitals show up as "average." And the remaining 5% as either good or bad.
"Value-based purchasing is just not going to work if you don't show variation because these cut offs don't show hospitals differentiating that much," Binder said. Don Berwick, MD, administrator for the Centers for Medicare & Medicaid Services, "has been absolutely clear," she added, that when hospital scores are posted for VBPP, they will make much finer distinctions.
Binder says that hospitals and other providers should "stay tuned, because there's a lot more to come."
"We use the best science out there to get information to the public, because people have a right to know: How am I going to do when I come to your hospital."