Survey Materials

Download the 2022 Leapfrog ASC Survey PDF (version 1, Updated April 12, 2022)


Download the 2022 Leapfrog ASC Survey Word (version 1, Updated April 12, 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

  • 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.

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

AHRQ Training Module

 

Section 3E Safe Surgery Checklist 

File Safe Surgery Checklist Workbook

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

CANDOR Toolkit

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 2022 Leapfrog ASC Survey Binder 

 

 

Visit Newsletter