The Leapfrog Hospital Survey, Leapfrog’s hallmark public reporting initiative, was launched in 2001 and is now in its sixth version, second update v6.3. The Leapfrog Hospital Survey is divided into nine sections:
The profile section asks you to provide certain demographic and contact information. The profile section can be accessed and updated anytime throughout the year by logging into the Survey Dashboard with your hospital’s security code.
Section 1: Basic Hospital Information
The first section asks you to provide information about your hospital’s bed size and teaching status.
Section 2: Computerized Physician Order Entry (CPOE)
The second section is one of The Leapfrog Group’s original quality and safety standards, and is designed to determine your hospital’s use of CPOE to prevent medication errors.
Section 3: Evidence-Based Hospital Referral (EBHR)
The third section is one of The Leapfrog Group’s original quality and safety standards, and is designed to determine your hospital’s performance on nationally endorsed quality of care measures for four high-risk surgical procedures. This section is not applicable for pediatric hospitals.
Section 4: Maternity Care
The fourth section is designed to demonstrate your hospital’s performance on nationally endorsed maternity measures of care for normal and high-risk deliveries.
Section 5: ICU Physician Staffing (IPS)
The fifth section is one of The Leapfrog Group’s original quality and safety standards, and is designed to determine whether or not patients in ICUs are cared for by physicians certified in critical care.
Section 6: NQF Safe Practices
The sixth section is one of The Leapfrog Group’s original quality and safety standards, and is designed to determine hospital’s adherence to eight of the thirty-four National Quality Forum’s safe practices.
Section 7: Managing Serious Errors
The seventh section is designed to demonstrate your hospital’s performance in preventing hospital-acquired infections and other conditions as well as to evaluate your hospital’s Never Events policy.
Section 8: Bar Code Medication Administration (BCMA)
The eighth section was new in 2015 and is designed to demonstrate your hospital’s use of bar code medication administration to prevent medication errors.
Section 9: Readmission for Common Acute Conditions & Procedures
The ninth section is designed to demonstrate your hospital’s performance on six readmission measures collected and reported by the Centers for Medicare and Medicaid Services. Responses for this section are pre-populated in the online survey tool. This section is not applicable for pediatric hospitals.
Section one, as well as section two, three, five, or six are required in order to submit a Leapfrog Hospital Survey. Hospitals are strongly urged to submit all sections of the Leapfrog Hospital Survey that are applicable to their facility. Each of the nine survey sections is organized in the same format in the hard copy of the survey:
- General information about standard [hard copy only].
- Reporting periods to provide hospitals with specific periods of time for each set of questions.
- Survey questions which may include references to end notes. The survey questions and end notes match the online survey tool exactly.
- Affirmation of accuracy by your hospital’s CEO/Chief Administrative Officer or by an individual that has been designated by the hospital CEO. These statements affirm the accuracy of your hospital’s responses.
- Reference Information which includes ‘What’s New’ and ‘Change Summaries,’ important measure specifications, answers to frequently asked questions, and other notes that must be carefully reviewed before providing responses to any of the survey questions [hard copy only].
The online survey tool will only include the reporting periods and survey questions, including end notes, and the affirmation of accuracy following each section. General information and reference information are not included in the online survey tool.
In addition to the survey questions, adult hospitals that indicate they have a CPOE system in at least one inpatient unit are asked to demonstrate via a test, that the inpatient CPOE system can alert physicians to at least 50% of common serious prescribing errors in a majority of medication checking categories. Adult hospitals cannot access the CPOE Evaluation Tool until they have completed, affirmed, and submitted Section 2 CPOE of the online survey. More information about the CPOE Evaluation Tool, can be found at Prepare for CPOE Tool.
Once you have reviewed the Survey Overview, go to the Pre-Submission Check List to make sure you have everything you need to get started on a survey.