Get an ASC Security Code

        iconDownload the ASC Security Code Request Form

 

Each ambulatory surgery center will need a 16-digit security code to log in to the Online Survey Tool on April 1. 

In order to ensure that only authorized individuals have access to the 2019 Leapfrog ASC Survey for each facility, a Security Code Request Form must be completed. There are two options for requesting a security code:

Option 1: If your ASC is enrolled in the
NHSN Outpatient Procedure Component
  • Join Leapfrog’s NHSN Group

  • Have the individual listed as the
    “NHSN Administrator” complete
    and sign the Security Code Request Form

  • Print the Security Code Request Form
    on letterhead and submit it to
    the Help Desk.

Option 2: If your ASC is NOT enrolled in the
NHSN Outpatient Procedure Component
  • Obtain a copy of the facility’s national
    accreditation letter or certificate, or the
    facility’s county or state business license
  • Have the Facility Administrator complete
    and sign the Security Code Request Form
  • Print the Security Code Request Form
    on letterhead and submit it with the
    required documentation to
    the Help Desk.

Note: In addition to the Facility Administrator referenced above, the Nurse Manager, Medical Director, or CEO may also submit a Security Code Request Form on behalf of their facility.

Keep the 16-digit security code in a secure location. You will need it to log in, update, and resubmit your Leapfrog ASC Survey.

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