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The HCAHPS is the first national, standardized, publicly reported survey of patients' perspectives of hospital care. The survey asks discharged patients 29 questions about their recent hospital stay. It contains 19 core questions about critical aspects of patients' hospital experiences (communication with nurses and doctors, the responsiveness of hospital staff, the cleanliness and quietness of the hospital environment, communication about medicines, discharge information, overall rating of hospital, and would they recommend the hospital). The survey also includes three items to direct patients to relevant questions, five items to adjust for the mix of patients across hospitals, and two items that support Congressionally-mandated reports.