Survey Materials

Download the 2021 Leapfrog ASC Survey PDF (version 1, updated May 5, 2021)


Download the 2021 Leapfrog ASC Survey Word (version 1, updated May 5, 2021)

 

Download the Summary of Changes to the 2021 Leapfrog ASC Survey hereUpdates to the 2021 Survey due to the continued impact of COVID-19 are available on pages 3-4 of the Summary of Changes. 

The hard copy of the ASC Survey contains important information that you will need to accurately respond to the ASC Survey questions and can be used to collect the information you will need to complete the Online ASC Survey Tool. The questions in the hard copy of the ASC Survey match the Online ASC Survey Tool exactly, so responses can be recorded on the hard copy of the ASC Survey and then entered into the Online ASC Survey Tool. The hard copy of the ASC Survey includes:

  • Survey Questions and Endnotes
  • Reporting Periods
  • Measure Specifications
  • Frequently Asked Questions 

Any changes to the 2021 Leapfrog ASC Survey that are published after April 1 will be listed here.

May 5, 2021

  • Section 4D Practice #2 - Culture Measurement, Feedback and Intervention: Updated Safe Practice 2.4b to specify that the costs of culture measurement/follow-up activities in patient safety program budgets do not need to be annual, but instead should be within the 24-month reporting period.

Other Supporting Materials

The following documents provide critical information that you will need to complete the Leapfrog ASC Survey. Please review each document carefully before you begin.
 

Section Materials

Section 4

Patient Safety Practices

Section 4A Medication Safety

File Medication Safety Documentation Workbook

 

Section 4B NHSN Outpatient Procedures Component

Instructions and FAQs for Joining Leapfrog's NHSN Group

 

Section 4D NQF Safe Practices

 

Section 4E Never Events

RCA2 Improving Root Cause Analyses and Actions to Prevent Harm

CANDOR Toolkit

Section 5

OAS CAHPS

Leapfrog ASC Survey Binder

The Leapfrog ASC Survey Binder document (PDF) is available for use by all hospitals to collect, organize, and record information during the completion of the Leapfrog ASC Survey. The document, which is divided up into 5 tabs (or sections), one for each section of the Survey, can be printed and placed in a binder. The information is helpful when completing subsequent years' Surveys, in staff and leadership transitions, and as a historical record. 

Download iconDownload the 2021 Leapfrog ASC Survey Binder 

 

 

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