Exhibit 4. Consumer reporting systems-Organizational structure and characteristics

[D] Text Description:

A flowchart shows consumer reporting systems.

Local consumer input flows to a system central hub with the following characteristics:

• Is an independent entity with a steady stream of sustainable funding.
• Governing body members' fiduciary responsibility is to represent the public.
• Neutral oversight body with consumer representation exists.
• Has transparency of goals, process, and results.
• Consumers are involved in organizational governance and operations.

The system central hub has bidirectional links to other systems and organizations. The links have the following purpose:

• Share results to change health care practices.
• Demonstrate that reported information was used.
• Address needs of reporters that can't be addressed by consumer reporting systems.
• Encourage reporting.
• Improve analyses.