Survey Overview

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The Leapfrog Hospital Survey, Leapfrog’s hallmark public reporting initiative, was launched in 2001 and is now in version 8.3. The Leapfrog Hospital Survey is divided into 10 sections:

 

Profile

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 Hospital Survey Dashboard with your hospital’s security code. 

Section 1: Basic Hospital Information

Section 1 includes questions about your hospital’s bed size, admissions, ICU operations, and teaching status. This section also includes questions on billing practices and health equity. In 2022, a new set of questions on informed consent is included. This subsection (1C) is optional and will not be scored or publicly reported in 2022. 

Section 2: Medication Safety - Computerized Physician Order Entry (CPOE)

Section 2 includes questions about your hospital’s use of CPOE to prevent medication ordering errors and adverse drug events. This section also includes the CPOE Evaluation Tool. In 2022, questions on the EHR application that were formerly included in the CPOE Evaluation Tool are included. This subsection (2B) is only applicable to adult and general hospitals and will not be scored or publicly reported. 

Section 3: Adult and Pediatric Complex Surgery

Section 3 includes questions about your hospital volume and process for privileging surgeons for eleven high-risk procedures, outcomes for mitral valve repair and replacement, and surgical appropriateness criteria to prevent unnecessary procedures. The section also includes questions about outcomes related to the Norwood procedure, which will not be scored or publicly reported. In 2022, a new set of questions on the implementation of a safe surgery checklist is included. This subsection (3C) will be scored and publicly reported in 2022.

Section 4: Maternity Care

Section 4 includes questions about elective delivery, cesarean birth, episiotomy, newborn bilirubin screening, and DVT prophylaxis for women undergoing cesarean delivery. The section also includes questions about high-risk deliveries, including volume and outcomes.

Section 5: ICU Physician Staffing (IPS)

Section 5 includes questions about the staffing structure of your hospital’s pediatric and adult general medical and/or surgical ICUs and neuro ICUs.

Section 6: Patient Safety Practices

Section 6 includes questions about your hospital’s adherence to three National Quality Forum-endorsed Safe Practices, questions about Hand Hygiene, and questions on nurse staffing and skill level. Section 6E will continue to be optional and not scored or publicly reported in 2022.

Section 7: Managing Serious Errors

Section 7 includes questions about your hospital’s response to Never Events. In addition, Leapfrog collects information via its NHSN Group about five healthcare-associated infections (CLABSI, CAUTI, MRSA, C. Diff, and SSI: Colon). 

Hospitals reporting on Section 7B Healthcare-Associated Infections are required to join Leapfrog’s NHSN Group. Important information and deadlines are available on the Join NHSN Group webpage

Section 8: Medication Safety

Section 8 includes questions about additional processes your hospital has in place to prevent medication errors, including bar code medication administration and medication reconciliation. Section 8A includes new optional fact-finding questions that will not be scored or publicly reported in 2022.

Section 9: Pediatric Care

Section 9 includes questions about patient experience (CAHPS Child Hospital Survey) and Computed Tomography (CT) radiation dose for pediatric patients. Section 9B includes new optional fact-finding questions that will not be scored or publicly reported in 2022.

Section 10: Outpatient Procedures 

Section 10 includes questions about same day procedures performed in hospital outpatient departments.

 

Section 1 Basic Hospital Information, as well as Section 2 CPOE, Section 4 Maternity Care, Section 5 ICU Physician Staffing, and Section 6 Patient Safety Practices are required to submit a Survey via the Online Hospital Survey Tool. Hospitals are strongly urged to submit all sections of the Leapfrog Hospital Survey and can indicate within a section if a measure does not apply.

In addition to the Survey questions, adult and general hospitals that indicate they have a CPOE system in at least one inpatient unit are asked to demonstrate, via a test, that the inpatient CPOE system can alert physicians to at least 60% of frequent serious medication errors known to cause harm to patients. Adult hospitals cannot access the CPOE Evaluation Tool until they have completed and affirmed Section 2 Medication Safety - CPOE in the Online Hospital Survey Tool. Carefully review the information on the Prepare for a CPOE Tool webpage.

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. 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 hospital indicated in the Hospital Profile section of the Survey. If the notification is sent before your hospital submits a 2022 Leapfrog Hospital Survey, the email will go to the Primary Survey Contact provided in the previous year's Survey.  

The Leapfrog Group and its participating members are committed to presenting information that is as current as possible and therefore we allow hospitals to update and resubmit their Survey until the November 30 Late Submission Deadline. Please carefully review the reporting periods in each section before updating your Survey. Leapfrog Hospital Survey Results are updated monthly beginning in July on Leapfrog’s public website. Hospitals are required to update the information in their Survey within 30 days of any change in status. We reserve the right to decertify information that is not current.

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