Survey and CPOE Materials

Hard Copy

The hard copy of the Survey contains important information that you will need to accurately respond to Survey questions and must 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.

 

2025 Leapfrog Hospital Survey (PDF) (Version 2, Updated May 2, 2025)

 

2025 Leapfrog Hospital Survey (Word) (Version 2, Updated May 2, 2025)

 

The hard copy of the Survey includes:

• Survey Questions and Endnotes
• Reporting Periods
• Measure Specifications
• Frequently Asked Questions 

 

The Summary of Changes to the 2025 Leapfrog Hospital Survey published in March 2025 is available here.

 

Any changes to the 2025 Leapfrog Hospital Survey that are published after April 1 will be listed here.

April 18, 2025

• Updated the measure specifications used to report on Hospital Boarding in the Emergency Department (ED) to exclude ED patients transferred from the ED to another hospital from questions 4a and 5a.

May 2, 2025

• Section 3A - Hospital and Surgeon Volume: Added four ICD-10 Morbid Obesity Diagnosis Codes for Bariatric Surgery for Weight Loss. Hospitals are not required to make updates to data already collected and/or reported but have the option to include the additional codes if they wish.

  The additional codes were added to the Complex Surgery ICD 10 Codes Workbook (available below) and CPT Code workbook (available on the Survey Dashboard). Please review the updated codes on page 131 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	Materials
Section 1: Patient Rights and Ethics	Section 1C: Health Care Equity American Hospital Association Health Equity, Diversity, and Inclusion Measures and Resources National LGBTQIA+ Health Education Center Guide for Collecting SOGI Data National LGBTQIA+ Health Education Center Guide for Collecting SOGI Data File Entity theme   CMS Inventory of Resources for Standardized Demographic and Language Collection AHA Institute for Diversity and Health Equity Data Collection, Stratification, and Use Toolkit (available only to to AHA members)   Section 1D: Informed Consent AHRQ Training Module CMS Toolkit for Making Written Material Clear
Section 2: Medication Safety	Section 2A: Computerized Physician Order Entry (CPOE)  CPOE Tool Instructions  CPOE Tool Guidance  CPOE DOB Calculator   Section 2D: Medication Reconciliation  Med Rec Workbook (Excel)  Med Rec Worksheet (Word) Best Possible Medication History: Quick Tips Best Possible Medication History: Quick Tips File Entity theme Identifying Discrepancies Flow Chart Identifying Discrepancies Flow Chart File Entity theme   Medication Reconciliation Implementation Toolkit (free) The MARQUIS Collaborative (fee) Taking a Good Medication History Video
Section 3: Adult and Pediatric Complex Surgery	Section 3A: Hospital and Surgeon Volume  Complex Surgery ICD 10 Codes CPT Code Workbook available via Online Survey Tool   Section 3B: Safe Surgery Checklist for Adult and Pediatric Complex Procedures  Safe Surgery Checklist Workbook WHO Implementation Manual WHO Implementation Manual File Entity theme
Section 4: Maternity Care	Sections 4A-4D CMQCC Instructions   Section 4E: High-Risk Deliveries  VON Data Sharing Authorization  Von Nightingale Instructions   Other Important Resources AHRQ Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage
Section 6: Patient Safety Practices	Sections 6A-6B: NQF Safe Practices NQF Safe Practices for Better Healthcare 2010 NQF Safe Practices for Better Healthcare 2010 File Entity theme   Section 6B: NQF Safe Practice #2 – Culture Measurement, Feedback, and Intervention  Guidelines for a Culture of Safety Survey   Section 6D: Diagnostic Excellence Patient and Family Advisory Council (PFAC) Toolkit for Exploring Diagnostic Quality   Section 6E: Hospital Boarding in the Emergency Department (ED)  Hospital Boarding in the ED Workbook
Section 7: Managing Serious Errors	Section 7A: Never Events CANDOR Toolkit ​ RCA2 Improving Root Cause Analyses and Actions to Prevent Harm RCA2 Interviewing Tips RCA2 Interviewing Tips File Entity theme   PACT Driver Diagram PACT Process Map PACT Communication Tip Sheet PACT Patient & Family Pathway   Section 7B: Healthcare-Associated Infections  Instructions and FAQs for Joining Leapfrog's NHSN Group AHRQ Toolkit for Improving Surgical Care and Recovery AHRQ Toolkit for Preventing CLABSI and CAUTI in ICUs AHRQ Toolkit for Reducing CAUTI in Hospitals AHRQ Toolkit for Reducing CLABSI AHRQ Resource for MRSA Prevention Universal Decolonization:  An Enhanced Protocol AHRQ Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship
Section 8: Pediatric Care	Section 8B: Pediatric Computed Tomography (CT) Radiation Dose  CT Dose Workbook
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  Safe Surgery Checklist Workbook WHO Implementation Manual WHO Implementation Manual File Entity theme   Section 9E: Medication Safety  Medication Safety Documentation Workbook

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.

 

2025 Leapfrog Hospital Survey Binder (Word)

2025 Leapfrog Hospital Survey Binder (PDF)