Saint Lukes South Hospital


About the Facility

CMS Certification Number (CCN)
17T185
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
12300 Metcalf
Phone Number
(913) 317-7749

Facility Medical Condition Statistics

All other conditions
281
Brain disease or condition (non-traumatic)
38
Brain injury (traumatic)
37
Hip or femur fracture
102
Hip or knee replacement, amputation or other bone or joint condition
115
Nervous system disorder (excluding stroke)
53
Spinal cord disease or condition (non-traumatic)
43
Spinal cord injury (traumatic)
19
Stroke
379

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.735
SIR 95% confidence interval - upper limit
4.445
Comparative performance category
No Different than the National Benchmark
Catheter days
915
Predicted number of infections (B)
2.493
Number of infections reported (A)
5
SIR (A/B)
2.006
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
761
Denominator
761
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.3
Denominator
668
Average observed change score
14.4
Change in patients ability to move around
Average risk-adjusted change score
35.3
Denominator
668
Average observed change score
36.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
466
Denominator
668
Facility rate
69.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
523
Denominator
668
Facility rate
78.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
761
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.009
SIR 95% confidence interval - upper limit
0.847
Comparative performance category
Better than the National Benchmark
Patient days
15,106
Predicted number of infections (B)
5.820
Number of infections reported (A)
1
SIR (A/B)
0.172
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
51
Number of health care workers
51
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
36
Number of eligible stays
598
Unadjusted potentially preventable readmission rate
6.02
Risk-standardized potentially preventable readmission rate (RSRR)
7.40
Lower limit of the 95% confidence interval on the RSRR
6.05
Upper limit of the 95% confidence interval on the RSRR
9.00
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
26
Number of eligible stays
655
Unadjusted potentially preventable readmission rate
3.97
Risk-standardized potentially preventable readmission rate (RSRR)
4.31
Lower limit of the 95% confidence interval on the RSRR
3.32
Upper limit of the 95% confidence interval on the RSRR
5.36
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)
356
Number of eligible stays
544
Observed discharge to community rate
65.44
Risk-standardized discharge to community rate
66.70
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.09
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.54
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.99
Number of eligible episodes
583
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
688
Denominator
761
Facility rate
90.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
18
Denominator
760
Facility observed rate
2.4
Facility risk-adjusted rate
2.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
22
Number of health care workers
22
Rate of COVID-19 vaccination
100.0