Proposed Changes to the 2022 Leapfrog ASC Survey

A central part of Leapfrog’s annual Survey process is our Public Comment period. Held each fall, ASCs, employee leaders involved with Leapfrog, and other stakeholders are urged to review the proposed changes to the upcoming Survey and provide formal comments to Leapfrog, our research team at Johns Hopkins, and our national expert panel. The comments received during the public comment period are reviewed and used to refine the Survey before it is finalized.

The Leapfrog Group, its Board of Directors, Regional Leaders, and purchaser members would like to thank those ambulatory surgery centers (ASCs) that participated in the 2019, 2020, and 2021 Leapfrog ASC Surveys. Facilities that participated have demonstrated their commitment to transparency and are now better prepared to participate in the 2022 Leapfrog ASC Survey. For the first time, as a result of your participation in the Survey, consumers, payers, and purchasers are now able to compare the safety and quality of ASCs side by side with hospital outpatient departments (HOPDs), using a comparable and standardized set of national patient safety and quality measures.

In recognition of the fact that more than 60 percent of surgeries in the United States are being performed in hospital outpatient departments or ASCs, Leapfrog launched both the Leapfrog ASC Survey and the Outpatient Procedures section of the Leapfrog Hospital Survey on April 1, 2019. The Survey questions were developed by national experts at the behest of employers and other payers, and extensively tested with ASCs and HOPDs. They examine basic facility resources, medical, surgical, and clinical staff, volume and safety of procedures, patient safety practices, and patient experience.

The Proposed Changes to the 2022 Leapfrog ASC Survey include proposed updates to the questions included on the 2021 Survey, removal of certain questions, new measures for inclusion in 2022, and changes to the way measures are scored for the purposes of public reporting. The Proposed Changes are based on feedback from participating ASCs, an analysis of 2021 Survey responses, extensive review of clinical literature, and recommendations from our research team and national expert panel.

We urge ASCs and other stakeholders to pay special attention to the following Proposed Changes:

  • Important Note on Changes Made in 2021 Due to COVID-19
  • Proposed Scoring on Billing Ethics questions (Section 1B)
  • Proposed Scoring on Facility and Surgeon Volume for Total Hip and Total Knee Replacement Surgery (Section 3B)
  • New questions on Informed Consent (Section 3D)
  • Updated Safe Surgery Checklist for Adult and Pediatric Outpatient Procedures (Section 3E)
  • New NQF Safe Practice #4 – Identification and Mitigation of Risks and Hazards in (Section 4D)

View the proposed changes to the 2022 Leapfrog ASC Survey (PDF)

Submit a public comment

Comments will be accepted until COB on December 18, 2021.

Final changes to the 2022 Leapfrog ASC Survey will be posted prior to April 1.


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