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Hospitals are mandated to distribute patient satisfaction surveys under the Affordable Care Act to collect data on patients' perspectives of care. The surveys facilitate comparisons between hospitals on key consumer-related topics. Results can be used to enhance care quality, accountability, and transparency. Higher HCAP scores lead to increased reimbursement, while low scores can have negative financial implications. Improving scores requires a collaborative effort by all staff members interacting with patients to focus on enhancing internal quality initiatives.