Download the 2020 Leapfrog ASC Survey PDF (version 1.1, Updated April 1, 2020)
Download the 2020 Leapfrog ASC Survey Word (version 1.1, Updated April 1, 2020)
Download the Summary of Changes to the 2020 Leapfrog ASC Survey document 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 2020 Leapfrog ASC Survey that are published after April 1 will be listed here.
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 |
Instructions and FAQs for Joining Leapfrog’s NHSN Group for ASCs
2.2a AHRQ Patient Safety Culture (SOPS) Tool
RCA2 Improving Root Cause Analyses and Actions to Prevent Harm |
|
Section 5 OAS CAHPS |
Leapfrog ASC Survey Binder
The Leapfrog ASC Survey Binder was originally designed for those facilities that have been selected for Leapfrog’s On-Site Data Verification Program administered by DHG Healthcare. Those facilites are mailed a binder to collect and organize the information (e.g., reports, documentation, notes, etc.) they used to complete their Leapfrog ASC Survey AND at the same time, they are preparing for their verification. DHG uses the information in the binder during the scheduled visit to verify a hospital’s Leapfrog ASC Survey responses. As part of Leapfrog's COVID-19 response, there will be no On-Site Data Verification in 2020.
However, 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 2020 Leapfrog ASC Survey Binder