Survey Materials

Download the 2024 Leapfrog ASC Survey (PDF) 

Download the 2024 Leapfrog ASC Survey (Word) 

 

Download the Summary of Changes to the 2024 Leapfrog ASC Survey here. 

The hard copy of the ASC Survey contains important information that you will need to accurately respond to the ASC Survey questions and can be used to collect the information you will need to complete the Online ASC Survey Tool. The questions in the hard copy of the ASC Survey match the Online ASC Survey Tool exactly, so responses can be recorded on the hard copy of the ASC Survey and then entered into the Online ASC Survey Tool. The hard copy of the ASC Survey includes:

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

Any changes to the 2024 Leapfrog ASC Survey that are published after April 1 will be listed here.

Other Supporting Materials

The following documents provide critical information that you will need to complete the Leapfrog ASC Survey. Please review each document carefully before you begin.

 

Section	Materials
Section 1 Patient Rights and Ethics	Section 1C: Health Care Equity National LGBTQIA+ Health Education Center Guide for Collecting SOGI Data CMS Inventory of Resources for Standardized Demographic and Language Collection
Section 3 Volume and Safety of Procedures	Section 3D Informed Consent AHRQ Training Module   Section 3E Safe Surgery Checklist   Safe Surgery Checklist Workbook WHO Safe Surgery Checklist Implementation Manual
Section 4 Patient Safety Practices	Section 4A Medication Safety  Medication Safety Documentation Workbook   Section 4B NHSN Outpatient Procedures Component Instructions and FAQs for Joining Leapfrog's NHSN Group   Section 4D NQF Safe Practices NQF Safe Practices for Better Healthcare- 2010 Update NQF Safe Practices for Better Healthcare- 2010 Update File Entity theme   Section 4E Never Events RCA2 Interviewing Tips RCA2 Interviewing Tips File Entity theme   RCA2 Improving Root Cause Analyses and Actions to Prevent Harm CANDOR Toolkit PACT Driver Diagram PACT Process Map PACT Communication Tip Sheet PACT Patient & Family Pathway

Leapfrog ASC Survey Binder

The Leapfrog ASC Survey Binder document (PDF) is available for use by all hospitals to collect, organize, and record information during the completion of the Leapfrog ASC Survey. The document, which is divided up into 5 tabs (or sections), one for each section of the Survey, 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. 

Download the 2024 Leapfrog ASC Survey Binder (PDF)

Download the 2024 Leapfrog ASC Survey Binder (Word)