The paradigm shift occurring in healthcare is elevating transparency from buzzword status to a strategic component of many hospitals' and health systems' efforts to achieve the Triple Aim. Companies that provide consumers with ways to evaluate the quality and safety of hospitals are also driving the call for more transparency. Pushing out data to internal and external audiences so that it will lead to more accountability for quality and patient outcomes takes considerable clinical, technological, and workforce resources. Providers who are tackling the challenge of transparency often cite the various scorecards and rating systems as a starting point for change. Collecting accurate data and mining it for meaning remains a significant hurdle; however, metrics are an important part of the transparency toolbox that aims to improve clinical quality, patient experience, and value.