2023 Leapfrog Hospital Survey (PDF) (version 2, Updated July 21, 2023)
2023 Leapfrog Hospital Survey (Word) (version 2, Updated July 21, 2023)
The hard copy of the Survey contains important information that you will need to accurately respond to the Survey questions and can be used to collect the information you will need to complete the Online Hospital Survey Tool. The questions in the hard copy of the Survey match the Online Hospital Survey Tool exactly, so responses can be recorded on the hard copy of the Survey and then entered into the Online Hospital Survey Tool. The hard copy of the Survey includes:
- Survey Questions and Endnotes
- Reporting Periods
- Measure Specifications
- Frequently Asked Questions
Any changes to the 2023 Leapfrog Hospital Survey that are published after April 1 will be listed here:
June 13, 2023
Section 4D Episiotomy and Section 4E Process Measures of Quality: Added APR-DRG and Tricare DRG codes used to identify vaginal deliveries and cesarean deliveries for reporting on Episiotomy in Section 4D and DVT Prophylaxis in Section 4E. Please review the updated measure specifications on pages 163 and 165 of the Survey.
Section 5 ICU Physician Staffing: Updated endnote #36 Certified in Critical Care Medicine to reflect updated pathway to certification offered by ABNS for neurointensivists. Please review updated endnote #36 on pages 311-312 of the Survey.
Section 9C Volume of Procedures: Added 14 adult and 18 pediatric CPT Codes used to identify Other Hernia Repairs and added one adult and one pediatric CPT Code used to identify Nasal/Sinus Procedures that were previously noted as removed. Updates are reflected in the Outpatient Procedure CPT Code workbook for Other Hernia Repair in the Adult and Pediatric General Surgery tab and for Nasal/Sinus Procedure in the Otolaryngology tab.
July 21, 2023
Section 6C Nursing Workforce Total Nursing Care Hours per Patient Day, RN Hours per Patient Day, and Nursing Skill Mix: Updated exclusions for medical, surgical or med-surg units with fewer than 15 patient days per month for all three months during a quarter and units that were closed for an entire quarter of the reporting period. Please review updated specifications on page 202 of the Survey.
Other Supporting Materials
The following documents provide critical information that you will need to complete the Leapfrog Hospital Survey. Please review each document carefully before you begin.
Section 1: Basic Hospital Information
Section 1C: Informed Consent
Section 2: Medication Safety
Section 2A: Computerized Physician Order Entry (CPOE)
Section 3: Adult and Pediatric Complex Surgery
Sections 3A: Hospital and Surgeon Volume
Section 3C: Safe Surgery Checklist for Adult and Pediatric Complex Procedures
Section 4: Maternity Care
Sections 4A-4ECMQCC Instructions
Section 4F: High-Risk Deliveries
Section 6: Patient Safety Practices
Section 6B: NQF Safe Practice #2 – Culture Measurement, Feedback, and Intervention
Section 7: Managing Serious Errors
Section 7A: Never Events
Section 7B: Healthcare-Associated Infections
Section 8: Pediatric Care
Section 8B: Pediatric Computed Tomography (CT) Radiation Dose
Section 9: Outpatient Procedures
Section 9C: Volume of Procedures
CPT Code Workbook available via Online Survey Tool
Section 9D: Safe Surgery Checklist for Adult and Pediatric Outpatient Procedures
Section 9E: Medication Safety
Leapfrog Hospital Survey Binder
The Leapfrog Hospital Survey Binder document is available for use by all hospitals to collect, organize, and record information during the completion of the Leapfrog Hospital Survey. The document 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. The use of the binder also acquaints hospitals with the elements of Leapfrog’s verification protocols.