Where does this fall on the spectrum from transparent to opaque?
A doctor friend in a Midwest hospital, who devotes his life to quality and safety improvement, writes:
I am getting my ACL repaired a week from Monday.
I have been unable to get my hands on any data regarding which surgeon has fewest complications, let alone best outcomes – and I have some knowledge of the system.
Heck, I don’t even know our institutional data for outcomes/complications for ACL repairs.
To make the point further, he referred me to this recent article on Forbes. Here's the lede:
Hospitals across the country are using near-total discretion in the way they disclose infections that occur as a result of surgeries, cause over 8,000 deaths annually in the U.S., and cost an additional $10 billion per year to the healthcare system, a new study underscoring the need for public reporting standards has found.
The report, published in the Journal for Healthcare Quality, and authored by researchers at Johns Hopkins University School of Medicine, shows that only 21 states currently have legislation that requires monitoring and public reporting for surgical site infections. Of those, only eight states actually make the data publicly available, and only a total of 10 procedures – out of 250 possible types of surgeries - get reported.