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Acute Care Hospitals · Voluntary non-profit - Church

University of Kansas Health System - St Francis Campus

3 / 5

At a glance

University of Kansas Health System - St Francis Campus carries a 3-star CMS overall rating — in line with 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 Limit0.026Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.600Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2303Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.897Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.527Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.370Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2632Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.187Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence Limit0.024Same as national
SSI - Colon Surgery: Upper Confidence Limit2.387Same as national
SSI - Colon Surgery: Number of Procedures79Same as national
SSI - Colon Surgery: Predicted Cases2.066Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.484Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures61Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.494Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.998Same as national
MRSA Bacteremia: Patient Days32877Same as national
MRSA Bacteremia: Predicted Cases1.499Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.100Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.758Better than national
Clostridium Difficile (C.Diff): Patient Days30702Better than national
Clostridium Difficile (C.Diff): Predicted Cases12.732Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.314Better 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 patients3Same as national203
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.8Same as national1187
Death rate for heart attack patients12.8Same as national148
Death rate for CABG surgery patients2.6Same as national45
Death rate for COPD patients11.6Same as national81
Death rate for heart failure patients12.1Same as national376
Death rate for pneumonia patients18.6Same as national349
Death rate for stroke patients12.3Same as national120
Pressure ulcer rate0.20Same as national3562
Death rate among surgical inpatients with serious treatable complications176.46Same as national48
Iatrogenic pneumothorax rate0.22Same as national4794
In-hospital fall-associated fracture rate0.23Same as national4744
Postoperative hemorrhage or hematoma rate2.25Same as national1187
Postoperative acute kidney injury requiring dialysis rate1.72Same as national509
Postoperative respiratory failure rate11.78Same as national510
Perioperative pulmonary embolism or deep vein thrombosis rate2.25Same as national1228
Postoperative sepsis rate5.99Same as national498
Postoperative wound dehiscence rate1.99Same as national258
Abdominopelvic accidental puncture or laceration rate0.83Same as national797
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same 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-12.7Not available153
Hospital return days for heart failure patients-27.2Not available425
Hospital return days for pneumonia patients-7.3Not available370
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1843
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14Same as national260
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.4Same as national234
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national234
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national702
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.9Same as national153
Rate of readmission for CABG12.2Same as national45
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1Same as national83
Heart failure (HF) 30-Day Readmission Rate17.5Same as national425
Rate of readmission after hip/knee replacement5Same as national181
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national370

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 rating2458
Doctor communication - star rating3458
Communication about medicines - star rating2458
Discharge information - star rating3458
Cleanliness - star rating3458
Quietness - star rating3458
Overall hospital rating - star rating2458
Recommend hospital - star rating3458
Summary star rating3458

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 volumemedium
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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination961915
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 better229395
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 better224366
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26422
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen532368
Head CT results8614
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10036
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing162334
Appropriate care for severe sepsis and septic shock64358
Septic Shock 3-Hour Bundle76160
Septic Shock 6-Hour Bundle9080
Severe Sepsis 3-Hour Bundle81358
Severe Sepsis 6-Hour Bundle95205
Discharged on Antithrombotic Therapy99107
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29295
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis931134

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 MeasureYes

Frequently asked questions

How is University of Kansas Health System - St Francis Campus rated?
University of Kansas Health System - St Francis Campus has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does University of Kansas Health System - St Francis Campus have emergency services?
Yes. University of Kansas Health System - St Francis Campus operates a 24/7 emergency department.
Where is University of Kansas Health System - St Francis Campus located?
University of Kansas Health System - St Francis Campus is located at 1700 Sw 7th Street, Topeka, KS 66606.
What type of hospital is University of Kansas Health System - St Francis Campus?
University of Kansas Health System - St Francis Campus is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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