The CMS (Centers for Medicare and Medicaid Services) states that before an Accountable Care Organization (ACO) can share in any savings generated, it must demonstrate that it met the quality performance standard for that year. One of the quality measures within those performance standards is ACO-3 CAHPS: Patients’ Rating of Provider. Many factors go into a patient’s rating of a provider, but most certainly the patient needs to have a positive experience. This includes not only their interaction with the physician and staff but their experience with the devices and equipment used during the exam. If a patient has an uncomfortable experience with a piece of equipment, it may reflect poorly on their provider rating. Providers should ensure their equipment has no safety hazards, is easy to maneuver and makes the patient feel comfortable.