Acute Care Hospitals · Proprietary
Baptist Health Brookwood Hospital
- 1280 Columbiana Road Ste 102, Vestavia, AL 35216
- (205) 877-1000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Baptist Health Brookwood Hospital 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 18 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.143 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.531 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 5798 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 5.334 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 3 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.562 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.666 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 2.337 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 7941 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 7.627 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 10 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 1.311 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.174 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.866 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 162 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 4.376 | Same as national |
| SSI - Colon Surgery: Observed Cases | 3 | Same as national |
| SSI - Colon Surgery | 0.686 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.043 | Better than national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 0.855 | Better than national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 895 | Better than national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 7.730 | Better than national |
| SSI - Abdominal Hysterectomy: Observed Cases | 2 | Better than national |
| SSI - Abdominal Hysterectomy | 0.259 | Better than national |
| MRSA Bacteremia: Lower Confidence Limit | 0.010 | Better than national |
| MRSA Bacteremia: Upper Confidence Limit | 0.991 | Better than national |
| MRSA Bacteremia: Patient Days | 59267 | Better than national |
| MRSA Bacteremia: Predicted Cases | 4.975 | Better than national |
| MRSA Bacteremia: Observed Cases | 1 | Better than national |
| MRSA Bacteremia | 0.201 | Better than national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.437 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.977 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 58231 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 36.001 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 24 | Better than national |
| Clostridium Difficile (C.Diff) | 0.667 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | — | Not available | — |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4 | Same as national | 753 |
| Death rate for heart attack patients | 13.2 | Same as national | 73 |
| Death rate for CABG surgery patients | 3.6 | Same as national | 31 |
| Death rate for COPD patients | 7.4 | Same as national | 31 |
| Death rate for heart failure patients | 11.6 | Same as national | 123 |
| Death rate for pneumonia patients | 16.2 | Same as national | 167 |
| Death rate for stroke patients | 16.5 | Same as national | 159 |
| Pressure ulcer rate | 0.47 | Same as national | 2439 |
| Death rate among surgical inpatients with serious treatable complications | 162.11 | Same as national | 50 |
| Iatrogenic pneumothorax rate | 0.17 | Same as national | 2947 |
| In-hospital fall-associated fracture rate | 0.24 | Same as national | 3016 |
| Postoperative hemorrhage or hematoma rate | 2.15 | Same as national | 781 |
| Postoperative acute kidney injury requiring dialysis rate | — | Not available | — |
| Postoperative respiratory failure rate | — | Not available | — |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.69 | Same as national | 771 |
| Postoperative sepsis rate | — | Not available | — |
| Postoperative wound dehiscence rate | 2.33 | Same as national | 215 |
| Abdominopelvic accidental puncture or laceration rate | 0.88 | Same as national | 611 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.95 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | -14.1 | Not available | 79 |
| Hospital return days for heart failure patients | 3.4 | Not available | 138 |
| Hospital return days for pneumonia patients | -0.6 | Not available | 172 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.5 | Same as national | 1217 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.2 | Same as national | 110 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | — | Not available | — |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | — | Not available | — |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 413 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.2 | Same as national | 79 |
| Rate of readmission for CABG | 9.8 | Same as national | 28 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.6 | Same as national | 34 |
| Heart failure (HF) 30-Day Readmission Rate | 19.7 | Same as national | 138 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 14.8 | Same as national | 172 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 2 | 963 |
| Doctor communication - star rating | 3 | 963 |
| Communication about medicines - star rating | 1 | 963 |
| Discharge information - star rating | 2 | 963 |
| Cleanliness - star rating | 2 | 963 |
| Quietness - star rating | 3 | 963 |
| Overall hospital rating - star rating | 2 | 963 |
| Recommend hospital - star rating | 2 | 963 |
| Summary star rating | 2 | 963 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | medium | — |
| 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 | 8 | 11440 |
| Hospital Harm - Severe Hypoglycemia | 3 | 1853 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 69 | 2788 |
| 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 | 156 | 440 |
| 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 | 155 | 427 |
| 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 better | — | — |
| Left before being seen | 2 | 34319 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 94 | 33 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 10 | 3405 |
| Appropriate care for severe sepsis and septic shock | 61 | 67 |
| Septic Shock 3-Hour Bundle | 93 | 29 |
| Septic Shock 6-Hour Bundle | 100 | 23 |
| Severe Sepsis 3-Hour Bundle | 75 | 67 |
| Severe Sepsis 6-Hour Bundle | 79 | 33 |
| Discharged on Antithrombotic Therapy | — | — |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 67 | 3377 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Baptist Health Brookwood Hospital rated?
- Baptist Health Brookwood Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Baptist Health Brookwood Hospital have emergency services?
- Yes. Baptist Health Brookwood Hospital operates a 24/7 emergency department.
- Where is Baptist Health Brookwood Hospital located?
- Baptist Health Brookwood Hospital is located at 1280 Columbiana Road Ste 102, Vestavia, AL 35216.
- What type of hospital is Baptist Health Brookwood Hospital?
- Baptist Health Brookwood Hospital is classified by CMS as a Acute Care Hospitals facility (Proprietary).
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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.