The Leapfrog ASC Survey is divided into five sections. A description of each section is listed below. For a more detailed overview of the 2023 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 2023, the health equity questions will continue to 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. Questions about facility volume and surgeon privileging for total hip replacements and total knee replacements will continue to be scored and publicly reported. In 2023, a new set of questions on facility and surgeon volume of bariatric surgery for weight loss was added. These questions will not be scored or publicly reported in 2023. Two new CMS outcome measures (Hospital Visits After Orthopedic Ambulatory Surgical Center Procedures, and Hospital Visits After Urology Ambulatory Surgical Center Procedures) were also added and will be scored and publicly reported. The questions about informed consent (Section 3D) Informed Consent will be scored and 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, Never Events and nursing workforce at your facility. In 2023, NQF Safe Practice #4 Risks and Hazards and the percentage of RNs who are BSN-prepared will be scored and 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.