Download the 2023 Leapfrog ASC Survey (PDF) (version 1, Updated June 12, 2023)
Download the 2023 Leapfrog ASC Survey (Word) (version 1, Updated June 12, 2023)
Download the Summary of Changes to the 2023 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 2023 Leapfrog ASC Survey that are published after April 1 will be listed here.
June 12, 2023
- Section 3A Volume of Procedures: Added 14 adult and 18 pediatric CPT Codes used to identify Other Hernia Repairs and added one adult and one pediatric CPT Code used to identify Nasal/Sinus Procedures that were previously noted as removed. Updates are reflected in the Outpatient Procedure CPT Code workbook for Other Hernia Repair in the Adult and Pediatric General Surgery tab and for Nasal/Sinus Procedure in the Otolaryngology tab.
Please download an updated copy of the Outpatient Procedure CPT Code workbook from the Survey Dashboard. Instructions for downloading the workbook are available are available in the Volume of Procedures Measure Specifications.
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.
Volume and Safety of Procedures
Section 3D Informed Consent
Section 3E Safe Surgery Checklist
Patient Safety Practices
Section 4A Medication Safety
Section 4B NHSN Outpatient Procedures Component
Section 4D NQF Safe Practices
Section 4E Never Events
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.