Download the 2022 Leapfrog ASC Survey PDF (version 2, Updated June 8, 2022)
Download the 2022 Leapfrog ASC Survey Word (version 2, Updated June 8, 2022)
Download the Summary of Changes to the 2022 Leapfrog ASC Survey here.
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 2022 Leapfrog ASC Survey that are published after April 1 will be listed here.
April 12, 2022
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Section 3A Volume of Procedures: Removed two CPT Codes from the Outpatient Procedure CPT Code workbook for Adult Orthopedic Procedures, removed one CPT Code for Pediatric Orthopedic Procedures, and updated CPT Code descriptors to align with the latest AMA Consumer Descriptor file.
Please download an updated copy of the Outpatient Procedure CPT Code workbook from the Survey Dashboard. Instructions for downloading the workbook are available on page 72 of the Survey.
June 8, 2022
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Section 3A Volume of Procedures: Removed four CPT Codes from the Outpatient Procedure CPT Code workbook for Pediatric Anterior Eye Segment Procedures and moved four CPT Codes for Adult General Orthopedic Procedures to Adult Shoulder Procedures.
Please download an updated copy of the Outpatient Procedure CPT Code workbook from the Survey Dashboard. Instructions for downloading the workbook are available on page 72 of the Survey.
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 3 Volume and Safety of Procedures |
Section 3D Informed Consent
Section 3E Safe Surgery Checklist |
|
Section 4 Patient Safety Practices |
Section 4A Medication Safety
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 |
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 the 2022 Leapfrog ASC Survey Binder