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Hospitals are mandated to distribute patient satisfaction surveys due to the Affordable Care Act. These surveys gather patient perspectives on care, allowing for objective comparisons of hospitals based on consumer-relevant topics. The results help hospitals enhance care quality, accountability, and transparency, as they can be reported publicly. While the data can benefit hospitals, it can also result in negative financial consequences. Higher HCAHPS scores lead to increased reimbursements, so a comprehensive strategy is necessary to elevate these scores and improve internal quality initiatives. Everyone interacting with patients plays a role in this process, not just nurses or providers.