One of the Robert Wood Johnson Foundation’s expectations for the Aligning Forces for Quality communities (the Alliances) is the public reporting of standardized measures of patients’ experiences with ambulatory care from the CAHPS Clinician & Group Survey (CG-CAHPS). One way to satisfy this requirement is to take advantage of existing but separate patient surveying efforts in the community and combine the results to produce a community-level public report. This “leveraged approach,” which has unique benefits and challenges, requires many decisions along the way to aggregate the results of the CG-CAHPS Survey appropriately for public reporting. This decision guide offers a detailed discussion of the issues and choices stakeholders typically will face when using the leveraged approach. It is designed to inform leaders of health systems and medical practices in the community and the Alliance staff working with them to support the decision-making process.