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Hospitals are required to conduct patient satisfaction surveys under the Affordable Care Act. These surveys gather data on patients' perspectives of care, enabling objective comparisons between hospitals on consumer-relevant topics. Results can lead to quality improvements, enhanced accountability, and increased transparency, as hospitals may publicly report their scores. The financial implications are significant; higher HCAHPS scores result in greater reimbursements. An all-in approach is essential for boosting HCAHPS scores and enhancing internal quality initiatives, involving everyone who interacts with patients, not just nurses or providers.