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What's New in 2022

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's new Billing Ethics standard will be publicly reported on this website beginning on July 25.

Fact sheet on Billing Ethics

Billing Ethics bibliography

Informed Consent

Informed consent is an essential step in helping patients be aware of the risks associated with recommended tests, treatments, and procedures. Leapfrog has added new questions to assess a surgery center's internal training and education around informed consent, the content of informed consent forms, and the process of gaining informed consent. These questions will not be scored or publicly reported in 2022.

Informed Consent bibliography

Person-Centered Care: Health Equity

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 questions to assess what actions surgery centers are taking to identify and reduce health care disparities. These questions will not be scored or publicly reported in 2022.

Health Equity 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. Leapfrog's Facility and Surgeon Volume standards for total hip replacement surgery and total knee replacement surgery will be publicly reported on this website beginning July 25. 

Fact sheet on Facility and Surgeon Volume

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 questions to assess the percentage of BSN-prepared nurses employed by the surgery center. These questions will not be scored or publicly reported in 2022.

Nurse Staffing and Skill Level bibliography