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Hospitals are required to distribute patient satisfaction surveys under the Affordable Care Act. These surveys gather data on patient experiences, enabling objective comparisons of hospitals on aspects that matter to consumers. Hospitals can utilize the survey results to enhance care quality, accountability, and transparency, with the option to publicly report the findings. However, this data can also pose financial risks if results are unfavorable. The program links higher HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) scores to increased reimbursement rates. To improve these scores and internal quality initiatives, a comprehensive approach involving all staff interactions with patients is essential, not just nurses and providers.