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What's New in 2021

Person-Centered Care: Billing Ethics

Billing quality is medical quality. Surgery centers should make prices transparent, and provide patients with readily understandable and comprehensive bills. These steps can avoid financial hardship for patients, including consequences like legal action. Leapfrog has added new questions to the ASC Survey to collect information on billing practices that may be harmful to patients. New questions will not be scored or publicly reported in 2021.

Billing Ethics bibliography

Person-Centered Care: Monitoring Health Care Inequity

All patients deserve safe, high quality care. Surgery centers should identify and mitigate health care disparities due to race, ethnicity, sexual orientation, and gender identify at the point of care. Leapfrog has added new questions to assess what actions surgery centers are taking to identify and reduce health care disparities. New questions will not be scored or publicly reported in 2021.

Monitoring Health Care Inequity bibliography

Facility and Surgeon Volume

Three decades of research have consistently demonstrated that patients that have their high-risk surgery at a facility and by a surgeon that have more experience with the procedure have better outcomes, including lower mortality rates, lower complication rates, and a shorter length of stay than for patients who have their surgery done at a hospital or by a surgeon with less experience.

Facility and Surgeon Volume bibliography

Nurse Staffing and Skill Level

Nursing care impacts patient outcomes. Surgery centers should ensure adequate nurse staffing, skill mix, and education so their patients receive the safest, highest-quality care. Leapfrog has added new questions to assess the percentage of BSN-prepared nurses employed by the surgery center.  New questions will not be scored or publicly reported in 2021.

Nurse Staffing and Skill Level bibliography

Opioid Prescribing 

Safe opioid prescribing can help combat the opioid epidemic. Leapfrog continues to include fact-finding questions to assess whether hospitals require all licensed prescribers to participate in state or regional prescription drug monitoring programs (PDMPs) and to follow national opioid prescribing guidelines for new opioid prescriptions following certain surgical procedures. These questions will not be scored or publicly reported in 2021. 

Opioid Prescribing bibliography