2026 Leapfrog Hospital Survey Scoring Algorithms (version 3, updated 10/20/2026)
The scoring algorithms document contains important information about how your responses to each section of the Survey are scored and publicly reported. The document includes cut-points for process and outcome measures, as well as scoring details and criteria for each of Leapfrog's performance categories (e.g., Achieved the Standard, Considerable Achievement, Some Achievement, Limited Achievement, etc.).
Any changes to the 2026 Leapfrog Hospital Survey Scoring Algorithms that are published after April 1 will be listed here.
May 7, 2026 - CMS Footnote Results Updated
Leapfrog has updated the scoring algorithm for OP-32: Rate of Unplanned Hospital Visits After Colonoscopy (pg. 61) and Patient Experience: OAS CAHPS (pg. 62). Hospitals with a CMS footnote 5, indicating that results for the reporting period are not available, will be scored and publicly reported as "Not Available".
July 10, 2026 - CMS OAS CAHPS Cut Points Updated
Leapfrog updated the scoring cut-points for the OAS CAHPS measures based on the most recent CMS data for hospitals and ASCs. Facilities without data in the CMS Provider Data Catalog will be publicly reported as "Not Available".
October 20, 2026 - 2022 NHSN Baseline and Risk Adjustment Model Adopted, Healthcare Associated Infection (HAI) Cut Points Updated, 24-month Reporting Period for Small Hospitals (<= 50 staffed beds)
Leapfrog is adopting the 2022 NHSN Baseline and Risk Adjustment Model ahead of the October 22 NHSN Download and has updated the cut-points used in scoring for each of the five HAI measures. Leapfrog has also updated the reporting period for the HAI measures for hospitals that reported 50 or fewer staffed beds on their 2025 NHSN Annual Survey. The updated cut-points and reporting period for small hospitals will be used for the final two NHSN downloads of the 2026 Survey Cycle (October 22 and December 17, 2026).
Final Changes to Section 7B Healthcare-Associated Infections
Leapfrog proposed two updates to Section 7B Healthcare-Associated Infections for the 2026 Leapfrog Hospital Survey and held a public comment period from September 14 through October 13, 2026. We received nearly 100 comments from a range of stakeholder groups, and feedback from Leapfrog’s national technical expert panels, which were reviewed by Leapfrog and our research team at Johns Hopkins Medicine and used to help finalize the changes. Responses to those comments and a final summary of changes can be found in the document linked below.
Changes are effective as of October 20 2026 and impact scoring and public reporting for the five healthcare-associated infections included in Section 7B of the 2026 Leapfrog Hospital Survey for the final two NHSN downloads of the 2026 Survey Cycle (October 22 and December 17, 2026).
Hospital Details Page
On July 12, the Hospital Details Page will be updated to display 2026 Leapfrog Hospital Survey Results for hospitals that submitted a 2026 Survey by the June 30 Submission Deadline. See Hospital Details page for more information.
Leapfrog Hospital Survey Results
2026 Leapfrog Hospital Survey Results will be published on July 25 for hospitals that submit a Survey by the June 30 Submission Deadline. After July, Survey Results will be refreshed within the first seven business days of each month to reflect Surveys submitted or re-submitted between July 1 and November 30, and previously submitted Surveys that are corrected by January 31. Survey Results are then frozen from February to July 25.
2025 Hospital Survey Results
2025 Leapfrog Hospital Survey Results are available on Leapfrog's public reporting website until July 25, 2026.