Survey Materials

Download the 2024 Leapfrog ASC Survey (PDF) (version 1, updated May 14, 2024)


Download the 2024 Leapfrog ASC Survey (Word) (version 1, updated May 14, 2024)

 

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:

May 14, 2024

  • Section 3A Volume of Procedures: Added four CPT Codes to the Outpatient Procedure CPT Code workbook for Adult General Surgery - Lumpectomy or Quadrantectomy of Breast Procedures. ASCs are not required to make updates to data already collected and/or reported but have the option to include these additional CPT Codes in their volume if they wish. As a reminder, these data are not used in scoring, but volume of procedures are publicly reported.

    You can download an updated copy of the Outpatient Procedure CPT Code workbook from the Survey Dashboard. Instructions for downloading the workbook are available on page 71 of the Survey.

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

PDF icon 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 

File Safe Surgery Checklist Workbook

WHO Safe Surgery Checklist Implementation Manual

 

Section 4

Patient Safety Practices

Section 4A Medication Safety

File Medication Safety Documentation Workbook

 

Section 4B NHSN Outpatient Procedures Component

Instructions and FAQs for Joining Leapfrog's NHSN Group

 

Section 4D NQF Safe Practices

 

Section 4E Never Events

 

 

 

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 ASCs 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 iconDownload the 2024 Leapfrog ASC Survey Binder (PDF)

Download iconDownload the 2024 Leapfrog ASC Survey Binder (Word)

 

 

 

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