Organizational Performance In A Culture Of Transparency It appears we have no secrets anymore. On a personal level, consumers are "sharing" everything about themselves on Facebook and other social media. This includes sharing very intimate health and wellness data with "friends." In the health and human service field, it also appears that we have few secrets left. Payers and consumers have taken to rating (and posting those ratings) physicians, hospitals, home care agencies, community agencies, health plans, and more. This has changed organizational performance from an internal concern for managers, to an issue that has a direct effect on an . . .