JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Baptist Health Louisville

4 / 5

At a glance

Baptist Health Louisville carries a 4-star CMS overall rating — above 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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.215Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.298Same as national
Central Line Associated Bloodstream Infection: Number of Device Days8144Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.539Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.586Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.117Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.887Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8834Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases10.880Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.368Better than national
SSI - Colon Surgery: Lower Confidence Limit0.673Same as national
SSI - Colon Surgery: Upper Confidence Limit2.112Same as national
SSI - Colon Surgery: Number of Procedures377Same as national
SSI - Colon Surgery: Predicted Cases9.658Same as national
SSI - Colon Surgery: Observed Cases12Same as national
SSI - Colon Surgery1.242Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures105Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.909Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.087Better than national
MRSA Bacteremia: Upper Confidence Limit0.931Better than national
MRSA Bacteremia: Patient Days147342Better than national
MRSA Bacteremia: Predicted Cases8.767Better than national
MRSA Bacteremia: Observed Cases3Better than national
MRSA Bacteremia0.342Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.203Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.479Better than national
Clostridium Difficile (C.Diff): Patient Days135228Better than national
Clostridium Difficile (C.Diff): Predicted Cases65.814Better than national
Clostridium Difficile (C.Diff): Observed Cases21Better than national
Clostridium Difficile (C.Diff)0.319Better 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 patients4.4Same as national203
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national4076
Death rate for heart attack patients11.3Same as national323
Death rate for CABG surgery patients2Same as national179
Death rate for COPD patients8.7Same as national330
Death rate for heart failure patients12.3Same as national1189
Death rate for pneumonia patients16.8Same as national1085
Death rate for stroke patients14.8Same as national654
Pressure ulcer rate0.39Same as national11813
Death rate among surgical inpatients with serious treatable complications209.46Same as national190
Iatrogenic pneumothorax rate0.15Same as national15101
In-hospital fall-associated fracture rate0.32Same as national15467
Postoperative hemorrhage or hematoma rate1.59Same as national3739
Postoperative acute kidney injury requiring dialysis rate1.21Same as national1737
Postoperative respiratory failure rate6.35Same as national1649
Perioperative pulmonary embolism or deep vein thrombosis rate5.12Worse than national4127
Postoperative sepsis rate6.07Same as national1685
Postoperative wound dehiscence rate1.72Same as national799
Abdominopelvic accidental puncture or laceration rate1.10Same as national2841
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-25.2Not available394
Hospital return days for heart failure patients-21.8Not available1403
Hospital return days for pneumonia patients13.1Not available1132
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national6656
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national5153
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.9Same as national29
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national29
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national1713
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12Same as national394
Rate of readmission for CABG9.8Same as national178
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1Same as national357
Heart failure (HF) 30-Day Readmission Rate18.1Same as national1403
Rate of readmission after hip/knee replacement5.6Same as national199
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national1132

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 rating31913
Doctor communication - star rating31913
Communication about medicines - star rating21913
Discharge information - star rating31913
Cleanliness - star rating21913
Quietness - star rating31913
Overall hospital rating - star rating41913
Recommend hospital - star rating41913
Summary star rating31913

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 volumehigh
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 Hyperglycemia829420
Hospital Harm - Severe Hypoglycemia14931
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination855198
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 better190379
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 better190369
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 seen159935
Head CT results1526
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9588
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)7239
Safe Use of Opioids - Concurrent Prescribing135193
Appropriate care for severe sepsis and septic shock59179
Septic Shock 3-Hour Bundle6060
Septic Shock 6-Hour Bundle6526
Severe Sepsis 3-Hour Bundle81179
Severe Sepsis 6-Hour Bundle97100
Discharged on Antithrombotic Therapy99344
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 MeasureYes

Frequently asked questions

How is Baptist Health Louisville rated?
Baptist Health Louisville has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Baptist Health Louisville have emergency services?
Yes. Baptist Health Louisville operates a 24/7 emergency department.
Where is Baptist Health Louisville located?
Baptist Health Louisville is located at 4000 Kresge Way, Louisville, KY 40207.
What type of hospital is Baptist Health Louisville?
Baptist Health Louisville is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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