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Accreditation Quality Report
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Quality Report

Summary of Accreditation Quality Information
Saint Francis Health Center, Inc.
Org ID: 8604
1700 S.W. 7th Street
Topeka, KS  66606-1690
(785)295-8000
www.stfrancistopeka.org

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Home Care
Accredited 4/25/2009 4/24/2009 4/24/2009  
Hospital
Accredited 4/25/2009 4/24/2009 4/24/2009  



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  Symbol Key
This organization achieved the best possible results
This organization’s performance is above the target range/value.
This organization’s performance is similar to the target range/value.
This organization’s performance is below the target range/value.
This measure is not applicable for this organization.
Not displayed
  Footnote Key
1. The measure or measure set was not reported.
2. The measure set does not have an overall result.
3. The number of patients is not enough for comparison purposes.
4. The measure meets the Privacy Disclosure Threshold rule.
5. The organization scored above 90% but was below most other organizations.
6. The measure results are not statistically valid.
7. The measure results are based on a sample of patients.
8. The number of months with measure data is below the reporting requirement.
9. The measure results are temporarily suppressed pending resubmission of updated data.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Home Care
2010 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
Hospital
2010 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
National Quality Improvement Goals:    
Reporting Period:
Jan  2009 -
Dec  2009
Heart Attack Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Heart Failure Care See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
Pneumonia Care See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Blood Vessel Surgery
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Colon/Large Intestine Surgery
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Coronary Artery Bypass Graft
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Hip Joint Replacement
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Hysterectomy
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Knee Replacement
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Open Heart Surgery
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
SCIP – Venous Thromboembolism (VTE) See Detail
   
  30 Day Risk Adjusted Mortality Rates (see details)
  30 Day Hospital Readmission Rates (see details)
  Survey of Patients' Hospital Experiences (see details)
 
Hospitals voluntarily participate in the Survey of Patients' Hospital Experiences(HCAHPS).
Pediatric and psychiatric hospitals are not eligible to participate in the HCAHPS survey based on their patient population.
National Quality Forum The Joint Commission only reports measures endorsed by the National Quality Forum.
 
* State results are not calculated for the National Patient Safety Goals.

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Sites and Services
* Primary Location

An organization may provide services not listed here. For more information refer to the Quality Report User Guide .

Locations of Care Available Services
Diabetes Center
6730 SW 29th
Topeka, KS  66614
  • General Outpatient Services (Outpatient)
Endocrinology Clinic
6730 SW 29th Street
Topeka, KS  66614
  • Single Specialty Practitioner (Outpatient)
St. Francis Cardiothoracic Surgery
600 SW College Avenue
Topeka, KS  66606
    St. Francis Family Medicine at Hunters Ridge
    4646 NW Fielding Road
    Topeka, KS  66618
    • Single Specialty Practitioner (Outpatient)
    St. Francis Family Medicine at River Hill
    6001 SW 6th Ave
    Topeka, KS  66615
    • Single Specialty Practitioner (Outpatient)
    St. Francis Family Medicine-Jewell Clinic
    600 SW Jewell
    Topeka, KS  66606
    • Single Specialty Practitioner (Outpatient)
    St. Francis Family Medicine-Mission Woods Clinic
    2835 SW Mission Woods Drive
    Topeka, KS  66614
    • Single Specialty Practitioner (Outpatient)
    St. Francis Health Center, Inc.  *
    1700 West 7th Street
    Topeka, KS  66606-1690
    • Cancer Center/Oncology (Inpatient, Outpatient)
    • Cardiac Catheterization Lab (Inpatient, Outpatient)
    • Cardiac Surgery (Inpatient)
    • Cardiac Unit/Cardiology (Inpatient, Outpatient)
    • CT Scanner (Inpatient, Outpatient)
    • Dialysis (Inpatient)
    • EEG/EKG/EMG Lab (Inpatient, Outpatient)
    • Emergency Room (Outpatient)
    • Endocrinology (Inpatient, Outpatient)
    • Family Practice (Inpatient, Outpatient)
    • Gastroenterology (Inpatient, Outpatient)
    • General Medical Services (Inpatient, Outpatient)
    • General Surgery (Inpatient, Outpatient)
    • GI or Endoscopy Lab (Inpatient, Outpatient)
    • Gynecology (Inpatient, Outpatient)
    • Hematology/Blood Treatment (Inpatient, Outpatient)
    • Imaging/Radiology (Inpatient, Outpatient)
    • Infectious Diseases (Inpatient, Outpatient)
    • Infusion Therapy (Inpatient, Outpatient)
    • Intensive Care Unit (Inpatient)
    • Internal Medicine (Inpatient, Outpatient)
    • Labor & Delivery (Inpatient)
    • Lithotripsy/Kidney Stone Treatment (Inpatient, Outpatient)
    • Magnetic Resonance Imaging (Inpatient, Outpatient)
    • Medical Detoxification (Inpatient)
    • Nephrology (Inpatient, Outpatient)
    • Neurology (Inpatient, Outpatient)
    • Neurosurgery (Inpatient)
    • Nuclear Medicine (Inpatient, Outpatient)
    • Nursery (Inpatient)
    • Obstetrics (Inpatient, Outpatient)
    • Occupational Health (Outpatient)
    • Operating Room (Inpatient, Outpatient)
    • Ophthalmology/Eye Surgery (Inpatient)
    • Oral Maxillofacial Surgery (Inpatient, Outpatient)
    • Orthopedic Surgery (Inpatient, Outpatient)
    • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
    • Outpatient Surgery (Outpatient)
    • Pain Management (Inpatient, Outpatient)
    • Pediatric Care (Inpatient, Outpatient)
    • Plastic Surgery (Inpatient, Outpatient)
    • Podiatry (Outpatient)
    • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
    • Pulmonary Function Lab (Inpatient, Outpatient)
    • Radiation Oncology (Inpatient, Outpatient)
    • Recovery/Infirmary (Outpatient)
    • Rehabilitation and Physical Medicine (Inpatient, Outpatient)
    • Respiratory Care (Ventilator) (Inpatient)
    • Rheumatology (Inpatient, Outpatient)
    • Sleep Center (Outpatient)
    • Telemetry (Inpatient)
    • Thoracic Surgery (Inpatient, Outpatient)
    • Ultrasound (Inpatient, Outpatient)
    • Urgent Care/Emergency Medicine (Outpatient)
    • Urology (Inpatient, Outpatient)
    • Vascular Surgery (Inpatient, Outpatient)
    • Wound Care (Inpatient, Outpatient)
    St. Francis Home Care
    1500 SW 6th Street
    Topeka, KS  66606
    • Home Health, Non-Hospice Services
    St. Francis Internal Medicine
    631 Horne St., Suite 420
    Topeka, KS  66606
    • Single Specialty Practitioner (Outpatient)
    St. Francis Laboratory at River Hill
    6001 SW 6th Street
    Topeka, KS  66615
    • General Outpatient Services (Outpatient)
    St. Francis Mission Woods
    2835 SW Mission Woods Drive
    Topeka, KS  66614
    • General Outpatient Services (Outpatient)
    St. Francis North Health Center
    4646 NW Fielding Road
    Topeka, KS  66618
    • General Outpatient Services (Outpatient)
    St. Francis Nortonville Medical Clinic
    306 Lafayette Street
    Nortonville, KS  66060
    • Single Specialty Practitioner (Outpatient)
    St. Francis Oskaloosa Medical Clinic
    100 E Washington, Suite B
    Oskaloosa, KS  66066
    • Single Specialty Practitioner (Outpatient)
    St. Francis Podiatry
    634 Mulvane, Suite 402
    Topeka, KS  66606
    • Single Specialty Practitioner (Outpatient)
    St. Francis Valley Falls Medical Clinic
    403 Sycamore
    Valley Falls, KS  66088
    • Single Specialty Practitioner (Outpatient)
    St. Francis Winchester Medical Clinic
    4th & Winchester
    Winchester, KS  66097
    • Single Specialty Practitioner (Outpatient)
    Topeka Neurosurgery at St. Francis
    634 Mulvane, Suite 202
    Topeka, KS  66606
    • Single Specialty Practitioner (Outpatient)
    Topeka OB/Gyn Associates (Mission Woods)
    6730 SW Mission View Drive
    Topeka, KS  66614
    • Single Specialty Practitioner (Outpatient)
    Topeka OB/Gyn Associates (Mulvane Building)
    634 SW Mulvane
    Topeka, KS  66606
    • Single Specialty Practitioner (Outpatient)
    Topeka Urology at St. Francis
    1516 SW 6th Avenue
    Topeka, KS  66606
    • General Outpatient Services (Outpatient)

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