JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Saint Luke's South Hospital

4 / 5

At a glance

Saint Luke's South Hospital carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days434Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.285Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days595Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.415Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence Limit0.030Same as national
SSI - Colon Surgery: Upper Confidence Limit2.937Same as national
SSI - Colon Surgery: Number of Procedures71Same as national
SSI - Colon Surgery: Predicted Cases1.679Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.596Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures69Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.626Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.706Same as national
MRSA Bacteremia: Patient Days29055Same as national
MRSA Bacteremia: Predicted Cases1.107Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.087Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.931Better than national
Clostridium Difficile (C.Diff): Patient Days29055Better than national
Clostridium Difficile (C.Diff): Predicted Cases8.767Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.342Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients4.7Same as national28
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national1074
Death rate for heart attack patients11.2Same as national135
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.6Same as national96
Death rate for heart failure patients12.3Same as national404
Death rate for pneumonia patients16.7Same as national392
Death rate for stroke patients11.6Same as national146
Pressure ulcer rate0.55Same as national3336
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national4211
In-hospital fall-associated fracture rate0.24Same as national4142
Postoperative hemorrhage or hematoma rate2.06Same as national649
Postoperative acute kidney injury requiring dialysis rate1.61Same as national157
Postoperative respiratory failure rate8.98Same as national163
Perioperative pulmonary embolism or deep vein thrombosis rate3.04Same as national669
Postoperative sepsis rate5.11Same as national142
Postoperative wound dehiscence rate2.02Same as national189
Abdominopelvic accidental puncture or laceration rate0.89Same as national761
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients-10.6Not available116
Hospital return days for heart failure patients-12.3Not available455
Hospital return days for pneumonia patients-1.8Not available383
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national1678
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14Same as national1619
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national366
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national116
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national108
Heart failure (HF) 30-Day Readmission Rate19.6Same as national455
Rate of readmission after hip/knee replacement6.7Same as national25
Pneumonia (PN) 30-Day Readmission Rate15Same as national383

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating41110
Doctor communication - star rating31110
Communication about medicines - star rating21110
Discharge information - star rating41110
Cleanliness - star rating41110
Quietness - star rating41110
Overall hospital rating - star rating41110
Recommend hospital - star rating51110
Summary star rating41110

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumevery high
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia76515
Hospital Harm - Severe Hypoglycemia2963
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination951246
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better105430
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better105415
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better17213
Left before being seen260641
Head CT results7818
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9994
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing201074
Appropriate care for severe sepsis and septic shock76173
Septic Shock 3-Hour Bundle7877
Septic Shock 6-Hour Bundle9842
Severe Sepsis 3-Hour Bundle87173
Severe Sepsis 6-Hour Bundle100105
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29774
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Saint Luke's South Hospital rated?
Saint Luke's South Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Saint Luke's South Hospital have emergency services?
Yes. Saint Luke's South Hospital operates a 24/7 emergency department.
Where is Saint Luke's South Hospital located?
Saint Luke's South Hospital is located at 12300 Metcalf Avenue, Overland Park, KS 66213.
What type of hospital is Saint Luke's South Hospital?
Saint Luke's South Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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