Survey Materials

Download the 2019 Leapfrog ASC Survey PDF (Version 1.0, Updated May 29, 2019)

Download the 2019 Leapfrog ASC Survey Word Doc (Version 1.0, Updated May 29, 2019)

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 2019 Leapfrog ASC Survey that are published after April 1 will be listed here.

• May 29, 2019- Section 3A Volume of Procedures: Updated the Measure Specifications for identifying the following orthopedic procedures for both adult and pediatric patients: Finger, Hand, Wrist, Forearm, and Elbow Procedures and Toe, Foot, Ankle, and Leg Procedures. CPT Code Range 28192-28250 (CCS 160) was removed from Finger, Hand, Wrist, Forearm, and Elbow Procedure CPT Codes and added to Toe, Foot, Ankle, and Leg Procedure CPT Codes. See pages 60-61 of the hard copy of the Survey for the updated Measure Specifications for Finger, Hand, Wrist, Forearm, and Elbow Procedures, for both adult and pediatric patients. See page 63 of the hard copy of the Survey for the updated Measure Specifications for Toe, Foot, Ankle, and Leg Procedures, for both adult and pediatric patients.

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 3A: Procedure Codes Workbook Section 3A: Procedure Codes Workbook File Entity theme   WHO Safe Surgery Checklist   TJC Universal Protocol Safe Surgery Checklist   AORN Comprehensive Surgical Checklist
Section 4 Patient Safety Practices	Instructions and FAQs for Joining Leapfrog’s NHSN Group for ASCs   NQF Safe Practices for Better Healthcare- 2010 Update NQF Safe Practices for Better Healthcare- 2010 Update File Entity theme   2.2a AHRQ Patient Safety Culture (SOPS) Tool    4.1d Risk Mitigation Plan Example 4.1d Risk Mitigation Plan Example File Entity theme   4.4a AHRQ Toolkit to Improve Safety in Ambulatory Surgery Centers   National Quality Forum's List of Serious Reportable Events   CANDOR Toolkit   RCA2 Interviewing Tips RCA2 Interviewing Tips File Entity theme   RCA2 Improving Root Cause Analyses and Actions to Prevent Harm
Section 5  OAS CAHPS	OAS CAHPS Crosswalk OAS CAHPS Crosswalk File Entity theme