Survey Materials

Download the 2023 Leapfrog ASC Survey (PDF)  (version 1, Updated June 12, 2023)


Download the 2023 Leapfrog ASC Survey (Word) (version 1, Updated June 12, 2023)

 

Download the Summary of Changes to the 2023 Leapfrog ASC Survey here

The hard copy of the ASC Survey contains important information that you will need to accurately respond to the ASC Survey questions and can be used to collect the information you will need to complete the Online ASC Survey Tool. The questions in the hard copy of the ASC Survey match the Online ASC Survey Tool exactly, so responses can be recorded on the hard copy of the ASC Survey and then entered into the Online ASC Survey Tool. The hard copy of the ASC Survey includes:

  • Survey Questions and Endnotes
  • Reporting Periods
  • Measure Specifications
  • Frequently Asked Questions 

Any changes to the 2023 Leapfrog ASC Survey that are published after April 1 will be listed here.

June 12, 2023

  • Section 3A Volume of Procedures: Added 14 adult and 18 pediatric CPT Codes used to identify Other Hernia Repairs and added one adult and one pediatric CPT Code used to identify Nasal/Sinus Procedures that were previously noted as removed. Updates are reflected in the Outpatient Procedure CPT Code workbook for Other Hernia Repair in the Adult and Pediatric General Surgery tab and for Nasal/Sinus Procedure in the Otolaryngology tab.

Please download an updated copy of the Outpatient Procedure CPT Code workbook from the Survey Dashboard. Instructions for downloading the workbook are available are available in the Volume of Procedures Measure Specifications.

Other Supporting Materials

The following documents provide critical information that you will need to complete the Leapfrog ASC Survey. Please review each document carefully before you begin.
 

Section Materials

Section 3

Volume and Safety of Procedures

Section 3D Informed Consent

AHRQ Training Module

 

Section 3E Safe Surgery Checklist 

File Safe Surgery Checklist Workbook

WHO Safe Surgery Checklist Implementation Manual

Section 4

Patient Safety Practices

Section 4A Medication Safety

File Medication Safety Documentation Workbook

 

Section 4B NHSN Outpatient Procedures Component

Instructions and FAQs for Joining Leapfrog's NHSN Group

 

Section 4D NQF Safe Practices

 

Section 4E Never Events

 

RCA2 Improving Root Cause Analyses and Actions to Prevent Harm

CANDOR Toolkit

PACT Driver Diagram

PACT Process Map

PACT Communication Tip Sheet

PACT Patient & Family Pathway

Leapfrog ASC Survey Binder

The Leapfrog ASC Survey Binder document (PDF) is available for use by all hospitals to collect, organize, and record information during the completion of the Leapfrog ASC Survey. The document, which is divided up into 5 tabs (or sections), one for each section of the Survey, can be printed and placed in a binder. The information is helpful when completing subsequent years' Surveys, in staff and leadership transitions, and as a historical record. 

Download iconDownload the 2023 Leapfrog ASC Survey Binder (PDF)

Download iconDownload the 2023 Leapfrog ASC Survey Binder (Word)

 

 

 

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