Ukhs-St. Francis Campus


About the Facility

CMS Certification Number (CCN)
17T016
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
1700 Sw 7th St
Topeka, Kansas 66606
Phone Number
(785) 295-5454

Facility Medical Condition Statistics

All other conditions
49
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
11
Hip or femur fracture
24
Hip or knee replacement, amputation or other bone or joint condition
29
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
44

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Catheter days
124
Predicted number of infections (B)
0.177
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
171
Denominator
171
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.2
Denominator
159
Average observed change score
10.9
Change in patients ability to move around
Average risk-adjusted change score
28.0
Denominator
159
Average observed change score
29.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
72
Denominator
159
Facility rate
45.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
74
Denominator
159
Facility rate
46.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
171
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.043
SIR 95% confidence interval - upper limit
4.206
Comparative performance category
No Different than the National Benchmark
Patient days
2,951
Predicted number of infections (B)
1.173
Number of infections reported (A)
1
SIR (A/B)
0.853
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
21
Number of health care workers
21
Rate of flu vaccination
100.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
20
Number of eligible stays
233
Unadjusted potentially preventable readmission rate
8.58
Risk-standardized potentially preventable readmission rate (RSRR)
8.77
Lower limit of the 95% confidence interval on the RSRR
6.79
Upper limit of the 95% confidence interval on the RSRR
10.90
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
8
Number of eligible stays
253
Unadjusted potentially preventable readmission rate
3.16
Risk-standardized potentially preventable readmission rate (RSRR)
4.46
Lower limit of the 95% confidence interval on the RSRR
3.01
Upper limit of the 95% confidence interval on the RSRR
6.36
Comparative performance category
No Different than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
136
Number of eligible stays
207
Observed discharge to community rate
65.70
Risk-standardized discharge to community rate
63.72
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
58.65
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.69
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.92
Number of eligible episodes
205
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
168
Denominator
171
Facility rate
98.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
171
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
24
Number of health care workers
27
Rate of COVID-19 vaccination
88.9