Leapfrog ASC Survey Content

2019 is the inaugural year of The Leapfrog Ambulatory Survey Center (ASC) Survey.  The Leapfrog Group has collected and publicly reported safety and quality information about inpatient care for 19 years. In recognition of the fact that more than 60 percent of surgeries in the United States are now performed in outpatient units or ASCs, the Leapfrog ASC Survey expands Leapfrog's work to gathering and reporting data beyond inpatient care.

ASCs looking to access the Leapfrog

ASC Survey should visit the ASC

Survey login page to get started. 

The Outpatient Procedures Section of the Leapfrog Hospital Survey, also new in 2019, will closely align with the Leapfrog ASC Survey. This joint effort will provide purchasers and consumers with information to compare the same procedure, whether offered at a hospital or an ASC, across a range of topics important to purchasers, employers and patients. 

The measures included in Leapfrog's Surveys are predicated on the latest science and are selected with guidance from scientific advisors at the Armstrong Institute for Patient Safety at Johns Hopkins Medicine as well as Leapfrog's volunteer Expert Panels

Click below for more information on each section in the Leapfrog ASC Survey. 

ASC and Outpatient Procedure Bibliography 

Basic Facility Information

This section requests general information about the facility that consumers should know, including:

  • Number of operating rooms and procedure rooms
  • Number of discharges, ownership information
  • Accreditation
  • Transfer policies

Medical, Surgical and Clinical Staff

Question pertaining to the training and education of medical, surgical and clinical staff is covered in this section of the Survey, including:

  • Proper resuscitation training such as Advanced Cardiovascular Life Support (ACLS) certification and Pediatric Advanced Life Support (PALS) certification
  • Board certification for physicians, anesthesiologists, and certified nurse anesthetists

Volume and Safety of Procedures

A significant body of evidence suggest a strong relationship between surgical volume and outcomes, so this section recounts volume for procedures commonly performed on an outpatient basis, including both adult and pediatric procedures within the following specialties: 

  • Gastroenterology
  • General surgery
  • Ophthalmology
  • Orthopedic
  • Otolaryngology
  • Urology
  • Dermatology
  • Neurological surgery
  • Obstetrics and gynecology
  • Plastic and reconstructive surgery

This section of the ASC Survey also includes questions about follow-up and after-hours communication, as well as appropriateness of patient selection and use of a safe surgery checklist.

Patient Safety Practices

In order to achieve a higher likelihood of a safer procedure in an ASC, patients should choose a facility that has implemented key practices related to:

  • Medication Safety
  • Antimicrobial Stewardship Practices
  • Hand Hygiene Practices
  • National Quality Forum-endorsed Safe Practices including Culture of Safety Leadership Structures and Systems, Culture Measurement, Feedback and Innovation, and Risks and Hazards
  • Policy on Never Events

Patient Experience

ASCs can have a survey administered to patients that asks about their experience in the facility. The information provided in this section offers patient-reported quality data that is valuable to purchasers and patients considering care at that facility. Examples of questions asked in patient experience surveys include:

  • Did your doctor or anyone from the facility prepare you for what to expect during your recovery?
  • Before you left the facility, did your doctor or anyone from the facility give you information about what to do if you had bleeding as a result of your procedure?
  • Possible signs of infection include fever, swelling, heat, drainage or redness. Before you left the facility, did your doctor or anyone from the facility give you information about what to do if you had possible signs of infection?
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