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Hospitals are required to distribute patient satisfaction surveys under the Affordable Care Act to gather data on patient perspectives of care, enabling objective comparisons between hospitals. These surveys aim to help hospitals enhance quality of care, accountability, and transparency. Results are publicly reported, serving both as a tool for improvement and a potential financial risk, as higher HCAHPS scores lead to increased reimbursements. An all-in approach is advocated to boost HCAHPS scores and improve internal quality initiatives, emphasizing that responsibility lies with everyone involved in patient interactions, not just nurses or providers.