The Leapfrog Hospital Survey, Leapfrog’s hallmark public reporting initiative, was launched in 2001 and is now in its seventh version, v7.0. The Leapfrog Hospital Survey is divided into nine sections:
The profile section asks you to provide certain demographic and contact information. The profile section can be accessed and updated anytime throughout the year by logging into the Survey Dashboard with your hospital’s security code.
Section 1: Basic Hospital Information
The first section asks you to provide information about your hospital’s bed size, admissions, teaching status, and ICUs operated.
Section 2: Medication Safety - Computerized Physician Order Entry (CPOE)
The second section is one of The Leapfrog Group’s original quality and safety standards, and is designed to determine your hospital’s use of CPOE to prevent medication errors.
Section 3: Inpatient Surgery
The third section is new in 2017. It is designed to collect information on hospital and surgeon volume for 10 high-risk surgical procedures and information on your hospital's development of appropriateness criteria to prevent unnecessary procedures. (This section will not be publicly reported in 2017.)
Section 4: Maternity Care
The fourth section is designed to demonstrate your hospital’s performance on nationally endorsed maternity measures of care for normal and high-risk deliveries.
Section 5: ICU Physician Staffing (IPS)
The fifth section is one of The Leapfrog Group’s original quality and safety standards, and is designed to determine whether or not patients in ICUs are cared for by physicians certified in critical care.
Section 6: NQF Safe Practices
The sixth section is one of The Leapfrog Group’s original quality and safety standards, and is designed to determine hospital’s adherence to eight of the thirty-four National Quality Forum’s safe practices.
Section 7: Managing Serious Errors
The seventh section is designed to assess your hospital's antibiotic stewardship efforts, as well as your performance on five NHSN infection measures and two hospital-acquired condition measures. In addition, the section evaluates your hospital's response to Never Events.
New in 2017: Hospitals reporting on Section 7B Healthcare-Associated Infections are required to join Leapfrog's NHSN Group. Important information and deadlines available here.
Section 8: Medication Safety
The eighth section is designed to assess additional processes your hospital has in place to prevent medication errors including barcode medication administration, and new in 2017, medication reconciliation. (The medication reconciliation subsection will not be publicly reported in 2017.)
Section 9: Pediatric Care
The ninth section is new in 2017. It is designed to assess two dimensions of pediatric care: patient experience and Computed Tomography (CT) radiation dose. (This section will not be publicly reported in 2017.)
Section one, as well as section two, four, five, or six are required in order to submit a Leapfrog Hospital Survey. Hospitals are strongly urged to submit all sections of the Leapfrog Hospital Survey that are applicable to their facility.
Each of the nine survey sections is organized in the same format in the hard copy of the survey:
- General information about standard [hard copy only].
- Reporting periods to provide hospitals with specific periods of time for each set of questions.
- Survey questions which may include references to end notes. The survey questions and end notes match the online survey tool exactly.
- Affirmation of accuracy by your hospital’s CEO/Chief Administrative Officer or by an individual that has been designated by the hospital CEO. These statements affirm the accuracy of your hospital’s responses.
- Reference Information which includes ‘What’s New’ and ‘Change Summaries,’ important measure specifications, answers to frequently asked questions, and other notes that must be carefully reviewed before providing responses to any of the survey questions [hard copy only].
The online survey tool will only include the reporting periods and survey questions, including endnotes, and the affirmation of accuracy following each section. General information and reference information are not included in the online survey tool.
In addition to the survey questions, adult hospitals that indicate they have a CPOE system in at least one inpatient unit are asked to demonstrate via a test, that the inpatient CPOE system can alert physicians to at least 50% of common serious prescribing errors. Adult hospitals cannot access the CPOE Evaluation Tool until they have submitted Section 1 Basic Hospital Information and Section 2 Medication Safety - CPOE of the online survey. More information about the CPOE Evaluation Tool, can be found at Prepare for CPOE Tool. Due to the update to the CPOE Evaluation Tool, the Tool will not be accessible from the Survey Dashboard until April 15th.
For a list of measures from the Leapfrog Hospital Survey that are included in the Leapfrog Hospital Safety Grade, visit www.HospitalSafetyGrade.org.
Once you have reviewed the Survey Overview, go to the Pre-Submission Check List to make sure you have everything you need to get started on a survey.