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Quality Report

Summary of Accreditation Quality Information
Stormont-Vail HealthCare, Inc
Org ID: 8605
1500 Southwest 10th Street
Topeka, KS  66604
(785)354-6000
www.stormontvail.org

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Hospital
Accredited 12/16/2006 10/23/2009 10/23/2009  


Other Accredited Programs / Services
Laboratory  -  Accredited by College of American Pathologists


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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
Hospital
2009 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:
Jul  2008 -
Jun  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 above the target range/value.
This organization’s performance is above 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 above the target range/value.
This organization’s performance is above 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
Alma Health Care Center
701 Missouri
Alma, KS  66401
  • General Outpatient Services (Outpatient)
Cotton O' Neil Clinic
118 West 4th Street
Lebo, KS  66856
  • General Outpatient Services (Outpatient)
Cotton O'Neil Cancer Center
1414 SW 8th Street
Topeka, KS  66606
  • Anesthesia (Outpatient)
  • General Outpatient Services (Outpatient)
  • Single Specialty Group Practice (Outpatient)
Cotton O'Neil Clinic
1704 Commercial Circle
Wamego, KS  66547
  • General Outpatient Services (Outpatient)
Cotton O'Neil Clinic
211 East Main Street
Carbondale, KS  66414
  • General Outpatient Services (Outpatient)
Cotton O'Neil Clinic - Osage City
131 West Market
Osage City, KS  66523
  • Convenient Care Center (Outpatient)
  • General Outpatient Services (Outpatient)
Cotton O'Neil Clinic at Croco Road
2909 SE Walnut Drive
Topeka, KS  66605
  • General Outpatient Services (Outpatient)
Cotton O'Neil Clinic at Urish Road
6725 Southwest 29th Street
Topeka, KS  66614
  • General Outpatient Services (Outpatient)
Cotton O'Neil Clinic, Lawrence
330 Arkansas, Suite 110
Lawrence, KS  66044
  • General Outpatient Services (Outpatient)
Cotton O'Neil Clinic, Meriden
407 East Wyandotte
Meriden, KS  66512
  • General Outpatient Services (Outpatient)
Cotton O'Neil Clinic, North Topeka
1130 North Kansas Avenue
Topeka, KS  66608
  • General Outpatient Services (Outpatient)
Cotton O'Neil Clinic, Oskaloosa
209 West Jefferson Street
Oskaloosa, KS  66066
  • General Outpatient Services (Outpatient)
Cotton O'Neil Dermatology Clinic
6650 SW Mission Valley Drive
Topeka, KS  66616
  • General Outpatient Services (Outpatient)
  • Single Specialty Group Practice (Outpatient)
Cotton O'Neil Diabetes and Endocrinology Center
3520 SW 6th Street
Topeka, KS  66606
  • General Outpatient Services (Outpatient)
  • Single Specialty Group Practice (Outpatient)
Cotton O'Neil Express Care
2860 Mission Woods Drive, Suite B
Topeka, KS  66614
  • General Outpatient Services (Outpatient)
Cotton O'Neil Express Care-Croco
2909 SW Walnut Drive
Topeka, KS  66605
  • General Outpatient Services (Outpatient)
Cotton-O'Neil Clinic
901 Garfield
Topeka, KS  66606
  • General Outpatient Services (Outpatient)
Cotton-O'Neil Digestive Health Center
720 SW Lane Street
Topeka, KS  66604
  • Anesthesia (Outpatient)
  • General Outpatient Services (Outpatient)
  • Single Specialty Group Practice (Outpatient)
Cotton-O'Neil Heart Center
929 Mulvane
Topeka, KS  66606
  • General Outpatient Services (Outpatient)
  • Single Specialty Group Practice (Outpatient)
Kansas Orthopedic and Sports Medicine
909 SW Mulvane
Topeka, KS  66604
  • General Outpatient Services (Outpatient)
Medical Arts Clinic
1301 West 12th Street
Emporia, KS  66801
  • General Outpatient Services (Outpatient)
Osage County Clinic
608 Holliday
Osage City, KS  66523
  • General Outpatient Services (Outpatient)
Pediatric Care
4100 Southwest 15th Street
Topeka, KS  66604
  • General Outpatient Services (Outpatient)
  • Single Specialty Group Practice (Outpatient)
Rossville Clinic
423 Main
Rossville, KS  66533
  • General Outpatient Services (Outpatient)
Stormont Vail Health Care Wound Care Center
6th & Frazier
Topeka, KS  66606
  • Single Specialty Group Practice (Outpatient)
  • Single Specialty Practitioner (Outpatient)
Stormont-Vail Regional Health Center  *
1500 Southwest 10th Street
Topeka, KS  66604
  • Allergy (Outpatient)
  • Audiology (Inpatient, Outpatient)
  • Behavioral Health (Day Programs - Adult/Child/Youth)
    (Non 24 Hour Care - Adult/Child/Youth)
    (24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient, Outpatient)
  • Cardiac Unit/Cardiology (Inpatient, Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dementia Care (Inpatient)
  • Dentistry (Inpatient, Outpatient)
  • Dermatology (Inpatient, Outpatient)
  • Dialysis (Inpatient, Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Electroconvulsive Therapy (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 Services (Inpatient, Outpatient)
  • Inpatient Intake (Inpatient)
  • 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)
  • Mental Health (Inpatient, Outpatient, 24-hour Acute Care/Crisis Stabilization)
  • Neonatal Intensive Care (Inpatient)
  • Nephrology (Inpatient, Outpatient)
  • Neurology (Inpatient, Outpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Occupational Health (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • 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 (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Inpatient, Outpatient)
  • Rehabilitation (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)
Stormont-Vail Rehabilitation Service
4019 SW 10th Street
Topeka, KS  66606
  • General Outpatient Services (Outpatient)
  • Multi Specialty Group Practice (Outpatient)
Stormont-Vail Single Day Surgery
823 Mulvane
Topeka, KS  66606
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
  • General Outpatient Services (Outpatient)
Stormont-Vail West
3707 SW 6th Street
Topeka, KS  66606
  • Behavioral Health (Day Programs - Adult/Child/Youth)
    (Non 24 Hour Care - Adult/Child/Youth)
    (24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
  • Chemical Dependency (Day Programs - Adult)
    (Non 24 Hour Care - Adult)
SVHC Work Care
1504 SW 8th Avenue
Topeka, KS  66606
  • Single Specialty Practitioner (Outpatient)
Women's Center
823 Mulvane
Topeka, KS  66606
  • General Outpatient Services (Outpatient)
  • Single Specialty Group Practice (Outpatient)

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