“…3,4 Measures of patient satisfaction are used to grade the effectiveness of medical providers and health care systems, 5 and are increasingly linked to provider and hospital payments. 6 As the largest integrated health care system in the United States (US), the Veterans Health Administration (VA) systematically tracks patient satisfaction through the national Survey of Health care Experiences of Patients (SHEP), 7,8 and is committed to operating a Bhealth care network that anticipates and meets the needs of enrolled Veterans, in general … and the most vulnerable Veterans, in particular.^9 While satisfaction ratings assess the extent to which patients are happy with care, measures of health care experiences assess how frequently positive interactions with care occur (e.g., how often providers listen carefully). 10,11 Measures of health care experiences are less subjective measures of health care quality.…”