When it comes to public reporting and transparency, the ACC is still in the process of defining a precise policy. It's not easy. As a result, suggestions and feedback on this topic are helpful as we attempt to reach a consensus.

In general, however, I believe we cannot afford not to act on this issue. The absolute reality is that public reporting and transparency on outcomes and performance is coming! If we are not bold and we fail to claim the quality reporting and evidence-based transparency space, others will claim it. We will be told what to do, rather than have a say in how to do it!

I realize there is a wide array of opinions and emotions on this subject. For example, we believe that we should continue efforts to support public reporting initiatives such as the Physician Quality Reporting Initiative (PQRI), while also developing our own tools and resources. This builds bridges in Congress on our advocacy agenda, making them less likely to whack reimbursements on imaging or procedures, for example.

In addition, our work toward promoting participation in the NCDR through clinical data collection at the point of care is bearing some fruit. CMS is doing two studies to evaluate registry use as a means of measuring quality and we are also beginning to win support in Congress and elsewhere on the value of our approach.

But, what should our transparency policy be to keep us at the table when these kinds of national policies are being crafted? ACC leaders are working to tackle this tough issue and develop a position. Your feedback on this important topic as we consider our present and future policy would be invaluable.