Survey and CPOE Materials

Download the 2019 Leapfrog Hospital Survey PDF (version 2, Updated April 17, 2019)


Download the 2019 Leapfrog Hospital Survey Word (version 2, Updated April 17, 2019)


Download the Summary of Changes to the 2019 Leapfrog Hospital Survey document here.


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 2019 Leapfrog Hospital Survey that are published after April 1 will be listed here.

  • April 2, 2019 – Section 1: Endnote #10 Total Adult Acute-Care General Admissions and endnote #14 ICU Admissions to Adult and Pediatric General Medical and/or Surgical or Neuro ICUs have been updated. The following exclusion has been removed from both endnotes: “Exclude admissions for patients that were transferred to another facility.” This exclusion only applies to endnote #11 Total Pediatric Acute-Care General Admissions and endnote #15 Neonatal ICU Admissions as these questions are used to qualify hospitals for reporting on the CAHPS Child Hospital Survey.
  • April 2, 2019 – Section 4E: Added 6 additional MS-DRG codes to the Appropriate DVT Prophylaxis in Women Undergoing Cesarean Delivery Measure Specifications for the purposes of identifying cesarean deliveries for inclusion in the denominator. These codes have been added to align with CMS’ October 2018 update to the national MS-DRG codes. See page 105 in the hard copy of the Survey for the additional codes.
  • April 17, 2019 – Section 4F High-Risk Deliveries: Updated the measure specifications for the High-Risk Deliveries Volume Standard to exclude newborns admitted to the neonatal ICU (NICU) weighing 1500 grams or more. This exclusion criterion was added to ensure alignment between Leapfrog’s definition for very-low birth-weight babies and the cases that hospitals are identifying using the ICD-10-CM codes in the instructions for volume reporting. Currently, two of the ICD-10-CM codes do not include birth weight in their definitions: P05.2 newborn affected by fetal malnutrition and P05.9 newborn affected by slow intrauterine growth. See page 106 in the hard copy of the Survey for details.


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 2

Computerized Physician Order Entry (CPOE)

Section 3

Inpatient Surgery

Section 4

Maternity Care 

Section 6

NQF Safe Practices

Section 7

Managing Serious Errors

CANDOR Toolkit

Instructions and FAQs for Joining Leapfrog's NHSN Group

NQF Antibiotic Stewardship Playbook

Core Elements for Antibiotic Stewardship

RCA2: Improving Root Cause Analyses and Actions to Prevent Harm

Section 8

Medication Safety


The MARQUIS Collaborative (fee)

MARQUIS Taking a Good Medication History Video

Medication Reconciliation Implementation Toolkit (free)

Section 9

Pediatric Care

Section 10

Outpatient Procedures 


WHO Safe Surgery Checklist

TJC Universal Protocol Safe Surgery Checklist

AORN Comprehensive Surgical Checklist




The CPOE Evaluation Tool

Instructions for completing the CPOE Evaluation Tool can be found in the table above. Information about how the CPOE Evaluation Tool is used and what it does can be found on the Prepare for CPOE Tool page. The CPOE Evaluation scoring algorithm and information about the results can be found on the Scoring and Results page.


Leapfrog Hospital Survey Binder

The Leapfrog Hospital Survey Binder was originally designed for those hospitals that have been selected for Leapfrog’s On-Site Data Verification Program administered by DHG Healthcare. Those hospitals are mailed a binder to collect and organize the information (e.g., reports, documentation, notes, etc.) they used to complete their Leapfrog Hospital Survey AND at the same time, they are preparing for their verification. DHG uses the information in the binder during the scheduled visit to verify a hospital’s Leapfrog Hospital Survey responses.

However, the Leapfrog Hospital Survey Binder document (PDF) is available for use by all hospitals to collect, organize, and record information during the completion of the Leapfrog Hospital Survey. The document, which is divided up into 10 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. The use of the binder also acquaints hospitals with the elements of the On-Site Data Verification Program.

Download iconDownload the 2019 Leapfrog Hospital Survey Binder



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