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Hospitals are required to distribute patient satisfaction surveys as part of the Affordable Care Act. These surveys gather data on patient perspectives, enabling objective comparisons across hospitals on crucial consumer-related topics. The results can help hospitals enhance care quality, accountability, and transparency. They can be publicly reported, influencing hospital finances—higher HCAHPS scores lead to increased reimbursements. To improve HCAHPS scores and internal quality initiatives, a collaborative approach is essential. This effort involves everyone who interacts with patients, not just nurses and providers, emphasizing a return to foundational practices in patient care.