Participation in the Leapfrog Hospital Survey is voluntary. Leapfrog asks hospitals to complete the online survey through a network of business health coalitions, quality improvement organizations, and direct purchasing groups called Regional Roll-Outs. On behalf of Leapfrog, the Regional Roll-Outs send hospital CEOs an introductory letter requesting that their hospital complete the Survey. This letter accompanied by a security code for completing the Survey. If the hospital does not have a security code and the hospital is in one of the Regional Roll-Out regions, then a representative from that hospital should call the regional contact to find out where the code was sent. Hospitals can also request a security code by emailing the Leapfrog Help Desk at firstname.lastname@example.org.
Although the Survey is voluntary, hospitals targeted through the Regional Roll-Out process that choose not to share their information are shown as "Declined to Respond" on the Hospital Ratings section of Leapfrog's website.