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Hospitals are mandated to distribute patient satisfaction surveys under the Affordable Care Act to gather data on patients' perspectives about care. These surveys facilitate objective comparisons among hospitals on critical consumer topics, enabling hospitals to enhance quality, accountability, and transparency. Results can be reported publicly, impacting hospitals positively or negatively financially. Higher HCAHPS scores lead to increased reimbursement for hospitals. An all-in approach is recommended to boost HCAHPS scores and improve internal quality initiatives, emphasizing that improving patient satisfaction is a collective responsibility involving everyone who interacts with patients, not just nurses and providers.