Topeka Hospital, LLC

Doing business as University of Kansas Health System - St Francis Campus

Hospital in Topeka, KS, Medicare certification number 170016. CMS publishes 66 quality measures for it.

Medicare certification

Provider of Services

CCN: 170016The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Church
Control type: Church
Participating since: Jul 1, 1966
Last certification: Oct 19, 2000
Beds: 378
Overall star rating: 3 of 5Care Compare
Address: 1700 SW 7TH Street
Topeka, KS 66606
(785) 295-8000

NPI records for this facility (CCN to NPI Mapping) 1

Topeka Hospital, LLC

dba The University of Kansas Health System, St. Francis Campus
- General Acute Care Hospital
- Topeka, KS
- NPI 1912423260
Medicare enrollment

Units certified under this facility 1

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

Ukhs-St. Francis Campus Inpatient rehabilitation facility, CCN 17T016, 17 measures, 1 providers

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.87 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 3.06 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.58 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.6 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse2 of 5
- State average 3.88 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.77 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 4.08 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 4.06 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.71 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 504

Page 1 of 21Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Saqib Hussen Abbasi, M.D.
- Medical Oncology Physician
- Westwood, KS
- NPI 1538547419
Hossam Saher Ahmad Abed, MD
- Hospitalist Physician
- Topeka, KS
- NPI 1245848647
Bahaa Abu Bakr, MD
- Endocrinology, Diabetes & Metabolism Physician
- Topeka, KS
- NPI 1285879775
Al Mamon Abu Ghanimah, MD
- Hospitalist Physician
- Topeka, KS
- NPI 1417239013
Yazan Addasi, MD
- Hospitalist Physician
- Topeka, KS
- NPI 1215589874
Tewodros D Addisse, MD
- Hospitalist Physician
- Topeka, KS
- NPI 1366412751
Kelsey Adkins, APRN
- Family Nurse Practitioner
- Kansas City, KS
- NPI 1023850591
Raazia Aftab, MD
- Internal Medicine Physician
- Urbana, IL
- NPI 1629554696
David Akhavan, MD, PHD
- Radiation Oncology Physician
- Kansas City, KS
- NPI 1992185334
Jamal Akhtar, M.D.
- Internal Medicine Physician
- Topeka, KS
- NPI 1336692953
Craig Chike Akoh, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Monroe, GA
- NPI 1467890145
Ahmad M Al-Tamimi, MBBS
- Internal Medicine Physician
- Topeka, KS
- NPI 1992221808
Hana Albrecht, D.O.
- Anatomic Pathology & Clinical Pathology Physician
- Topeka, KS
- NPI 1801187125
Morgan Albrecht, APRN, DNP
- Nurse Practitioner
- Topeka, KS
- NPI 1982334322
Thomas W Alderson, MD
- Nephrology Physician
- Topeka, KS
- NPI 1942404439
Ashraf Alhafez, MD
- Hospitalist Physician
- Topeka, KS
- NPI 1134409105
David R Allen, M.D.
- Family Medicine Physician
- Holton, KS
- NPI 1952371163
Raed Moh'D Taiseer Alrajabi, M.D.
- Hematology & Oncology Physician
- Westwood, KS
- NPI 1992798839
Tarek Alsibai
- Hospitalist Physician
- Topeka, KS
- NPI 1982337184
Patricio Alzamora Schmatz, MD
- Cardiovascular Disease Physician
- Cincinnati, OH
- NPI 1255715967
Thomas B Anderson, MD,PHD
- Hospitalist Physician
- Topeka, KS
- NPI 1396794772
Kelli Jo Andresen, MD
- Diagnostic Radiology Physician
- Kansas City, MO
- NPI 1073597514
Ekta Aneja, MD
- Internal Medicine Physician
- Topeka, KS
- NPI 1649653098
Pornpimol Anprasertporn, M.D.
- Neurology Physician
- Topeka, KS
- NPI 1265743462
Andre Apostolatos, MD
- Internal Medicine Physician
- Overland Park, KS
- NPI 1144970203

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.83
- State average 1 (computed here)
- National average 1.06
- No different than the national rate
- 797 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.9
- State average 0.96 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected176.46
- State average 170.74 (computed here)
- National average 173.3
- No different than the national rate
- 48 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.2
- State average 2.95 (computed here)
- National average 2.4
- No different than the national rate
- 51 patients
- Period from 07/01/2022
Death rate for COPD patients As expected11.4
- State average 8.91 (computed here)
- National average 8.6
- No different than the national rate
- 71 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected13.5
- State average 12.12 (computed here)
- National average 11.9
- No different than the national rate
- 166 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected12.8
- State average 11.94 (computed here)
- National average 11.1
- No different than the national rate
- 371 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14.4
- State average 16.62 (computed here)
- National average 15.2
- No different than the national rate
- 379 patients
- Period from 07/01/2022
Death rate for stroke patients As expected12.5
- State average 12.33 (computed here)
- National average 11.9
- No different than the national rate
- 137 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.6
- State average 4.35 (computed here)
- National average 3.9
- No different than the national rate
- 2,054 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.22
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 4,794 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.23
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 4,744 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.25
- State average 3.17 (computed here)
- National average 3.52
- No different than the national rate
- 1,228 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.72
- State average 1.71 (computed here)
- National average 1.67
- No different than the national rate
- 509 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.25
- State average 2.22 (computed here)
- National average 2.34
- No different than the national rate
- 1,187 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected11.78
- State average 9.57 (computed here)
- National average 9.42
- No different than the national rate
- 510 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.99
- State average 5.1 (computed here)
- National average 5.27
- No different than the national rate
- 498 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.99
- State average 1.75 (computed here)
- National average 1.77
- No different than the national rate
- 258 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.2
- State average 0.55 (computed here)
- National average 0.63
- No different than the national rate
- 3,562 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected5.9
- State average 4.12 (computed here)
- National average 4.1
- No different than the national rate
- 93 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0
- State average 0.4
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0
- State average 0.57
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.16
- State average 0.33
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0
- State average 0.55
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.81
- State average 0.88
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 6.8
- State average 8.53 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 4.7
- State average 5.63 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.98
- State average 0.98
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 92
- State average 91.73 (computed here)
- National average 92.79 (computed here)
- 95 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 69
- State average 63
- National average 65
- 359 patients
- Period from 10/01/2024
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 better 212
- State average 132
- National average 168
- 394 patients
- Period from 10/01/2024
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 better 210
- State average 125
- National average 162
- 367 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 234
- State average 190
- National average 257
- 19 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 99
- State average 95.8 (computed here)
- National average 96.1 (computed here)
- 107 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 100
- State average 95
- National average 93
- 36 patients
- Period from 01/01/2024
Head CT results 80
- State average 72
- National average 69
- 15 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 96
- State average 84
- National average 78
- 1,915 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 93
- State average 88.67 (computed here)
- National average 93.49 (computed here)
- 1,134 patients
- Period from 01/01/2024
Left before being seen 5
- State average 2
- National average 2
- 32,368 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 16
- State average 16
- National average 15
- 2,334 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 77
- State average 67
- National average 73
- 152 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 92
- State average 83
- National average 87
- 77 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 84
- State average 81
- National average 81
- 360 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 95
- State average 91
- National average 93
- 211 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — medium
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 5
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.7
- State average 13.99 (computed here)
- National average 14.4
- No different than the national rate
- 163 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected19.4
- State average 21.02 (computed here)
- National average 21.3
- No different than the national rate
- 506 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -24.2
- State average -9.72 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 168 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -27.3
- State average -8.62 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 417 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -7.7
- State average -7.17 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 414 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.5
- State average 17.15 (computed here)
- National average 17.3
- No different than the national rate
- 461 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.6
- State average 5.38 (computed here)
- National average 5.4
- No different than the national rate
- 234 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.4
- State average 11.17 (computed here)
- National average 10.7
- No different than the national rate
- 234 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected7
- State average 5.86 (computed here)
- National average 5.8
- No different than the national rate
- 99 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected12.4
- State average 10.51 (computed here)
- National average 11
- No different than the national rate
- 46 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.8
- State average 19.59 (computed here)
- National average 20
- No different than the national rate
- 113 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected14
- State average 13.15 (computed here)
- National average 13
- No different than the national rate
- 260 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 1.06 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 702 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Other hospitals in Topeka, KS

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.