The Leapfrog ASC Survey is divided into five sections. A description of each section is listed below. For a more detailed overview of the 2022 Leapfrog ASC Survey visit the Get Started webpages.
All five sections must be completed in order to submit the Leapfrog ASC Survey via the Online ASC Survey Tool.
The profile section includes questions about demographic and contact information. The profile section can be accessed and updated anytime throughout the year by logging into the Survey Dashboard with your facility’s security code.
Section 1 Basic Facility Information
Section 1 includes questions about your facility’s operating and procedure rooms, adult and pediatric patient discharges, teaching status, ownership, accreditation, and transfer agreements. The section also includes questions about two aspects of patient-centered care: billing ethics and health equity. In 2022, the health equity questions will not be scored or publicly reported.
Section 2 Medical, Surgical, and Clinical Staff
Section 2 includes questions about your facility’s medical, surgical, and clinical staff, including ACLS and PALS certification, and board certification.
Section 3 Volume and Safety of Procedures
Section 3 includes questions about your facility’s volume of adult and pediatric procedures, patient selection, and use of a safe surgery checklist. In 2022, questions about facility volume and surgeon privileging for total hip replacements and total knee replacements will be scored and publicly reported. Two new CMS outcome measures (improvement in visual functional status following cataracts surgery and unplanned hospitals visits following colonoscopy) have been added and will be scored and publicly reported. A new set of questions on informed consent were added. This subsection (3D) is optional and will not be scored or publicly reported.
Section 4 Patient Safety Practices
Section 4 includes questions about medication safety, the NHSN Outpatient Procedure Component Module reporting, hand hygiene, NQF Safe Practices, and the Never Events Policy at your facility. In 2022, NQF Safe Practice #4 Risks and Hazards was added. This new NQF Safe Practice is optional and will not be scored or publicly reported. Questions on the proportion of nurses that are BSN-prepared will continue to be optional and will not be scored or publicly reported.
Section 5 Patient Experience
Section 5 includes questions about patient experience (OAS CAHPS).
Any changes made to the measure specifications after April 1 will be reflected in the hard copy of the Survey in the Reference Information sections under the “Change Summary” header (see Table of Contents). In addition, the updates to the specifications will be highlighted in yellow. If the changes are substantial, we will email the Primary Survey Contact your facility indicated in the Profile Section of the Survey.
The Leapfrog Group and its participating members are committed to presenting information that is as current as possible and therefore allow facilities to update and resubmit their Survey until the November 30 Late Submission & Performance Update Deadline. Please carefully review the reporting periods in each section before updating your Survey.