JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Baptist Health Medical Center- Conway

2 / 5

At a glance

Baptist Health Medical Center- Conway carries a 2-star CMS overall rating — below 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 Limit0.033Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.268Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2180Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.509Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.663Same 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 Limit1.239Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3484Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.417Same 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 LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures36Not available
SSI - Colon Surgery: Predicted Cases0.945Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures49Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.470Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.267Same as national
MRSA Bacteremia: Upper Confidence Limit5.253Same as national
MRSA Bacteremia: Patient Days26004Same as national
MRSA Bacteremia: Predicted Cases1.258Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.590Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.034Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.666Better than national
Clostridium Difficile (C.Diff): Patient Days25342Better than national
Clostridium Difficile (C.Diff): Predicted Cases9.922Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.202Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national583
Death rate for heart attack patients12.4Same as national117
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.7Same as national70
Death rate for heart failure patients10.7Same as national187
Death rate for pneumonia patients15.2Same as national295
Death rate for stroke patients13.5Same as national45
Pressure ulcer rate0.61Same as national2020
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.25Same as national2325
In-hospital fall-associated fracture rate0.25Same as national2369
Postoperative hemorrhage or hematoma rate2.18Same as national376
Postoperative acute kidney injury requiring dialysis rate1.61Same as national81
Postoperative respiratory failure rate10.52Same as national85
Perioperative pulmonary embolism or deep vein thrombosis rate3.88Same as national377
Postoperative sepsis rate5.55Same as national84
Postoperative wound dehiscence rate1.73Same as national62
Abdominopelvic accidental puncture or laceration rate1.28Same as national238
CMS Medicare PSI 90: Patient safety and adverse events composite1.05Same 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 patients3.4Not available94
Hospital return days for heart failure patients30Not available207
Hospital return days for pneumonia patients22.9Not available300
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national875
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national183
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 national442
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national94
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.3Same as national74
Heart failure (HF) 30-Day Readmission Rate20.8Same as national207
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national300

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 rating4564
Doctor communication - star rating4564
Communication about medicines - star rating3564
Discharge information - star rating2564
Cleanliness - star rating4564
Quietness - star rating5564
Overall hospital rating - star rating4564
Recommend hospital - star rating4564
Summary star rating4564

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 vaccination76884
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 better150387
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 better148320
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32611
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better14456
Left before being seen223591
Head CT results6422
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99129
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing171064
Appropriate care for severe sepsis and septic shock68133
Septic Shock 3-Hour Bundle8843
Septic Shock 6-Hour Bundle9729
Severe Sepsis 3-Hour Bundle75133
Severe Sepsis 6-Hour Bundle9466
Discharged on Antithrombotic Therapy10045
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 210045
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 Medical Center- Conway rated?
Baptist Health Medical Center- Conway has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Baptist Health Medical Center- Conway have emergency services?
Yes. Baptist Health Medical Center- Conway operates a 24/7 emergency department.
Where is Baptist Health Medical Center- Conway located?
Baptist Health Medical Center- Conway is located at 1555 Exchange Avenue, Conway, AR 72032.
What type of hospital is Baptist Health Medical Center- Conway?
Baptist Health Medical Center- Conway 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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