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Hospitals are required to distribute patient satisfaction surveys under the Affordable Care Act. These surveys gather patient perspectives on care, enabling objective comparisons between hospitals on consumer-relevant topics. Hospitals utilize the results to improve quality of care, enhance accountability, and increase transparency. The survey data can be publicly reported, impacting the hospital's financial situation—higher HCAHPS scores lead to better reimbursement. An all-in approach is necessary to boost HCAHPS scores and improve internal quality initiatives, emphasizing that all staff interacting with patients share the responsibility, not just nurses or providers.