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
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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 |
|---|---|
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Section 1 Patient Rights and Ethics |
Section 1C: Health Care Equity
CMS Inventory of Resources for Standardized Demographic and Language Collection |
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Section 3 Volume and Safety of Procedures |
Section 3D Informed Consent
Section 3E Safe Surgery Checklist
WHO Safe Surgery Checklist Implementation Manual
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Section 4 Patient Safety Practices |
Section 4A Medication Safety
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
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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 the 2024 Leapfrog ASC Survey Binder (PDF)
Download the 2024 Leapfrog ASC Survey Binder (Word)