Download the 2025 Leapfrog ASC Survey (PDF) (version 1, Updated May 2, 2025)
Download the 2025 Leapfrog ASC Survey (Word) (version 1, Updated May 2, 2025)
Download the Summary of Changes to the 2025 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 2025 Leapfrog ASC Survey that are published after April 1 will be listed here:
May 2, 2025
- Section 3B Facility and Surgeon Volume: Added four ICD-10 Morbid Obesity Diagnosis Codes for Bariatric Surgery for Weight Loss. Facilities are not required to make updates to data already collected and/or reported but have the option to include the additional codes if they wish.
The additional codes were added to the CPT Code Workbook (available on the Survey Dashboard). Please review the updated codes on page 78 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 |
|---|---|
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Section 1 Patient Rights and Ethics |
Section 1C: Health Care Equity
CMS Inventory of Resources for Standardized Demographic and Language Collection |
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Section 3 Volume and Safety of Procedures |
Section 3D Informed Consent
Section 3E Safe Surgery Checklist
WHO Safe Surgery Checklist Implementation Manual
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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
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Leapfrog ASC Survey Binder
The Leapfrog ASC Survey Binder document (PDF) is available for use by all ASCs 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 2025 Leapfrog ASC Survey Binder (PDF)
Download the 2025 Leapfrog ASC Survey Binder (Word)