JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Baptist Health Medical Center - Jacksonville

4 / 5

At a glance

Baptist Health Medical Center - Jacksonville 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 6.

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 Limit0.599Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.297Same as national
Central Line Associated Bloodstream Infection: Number of Device Days26899Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases28.951Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases26Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.898Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.243Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.913Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days14850Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases18.081Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases9Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.498Better than national
SSI - Colon Surgery: Lower Confidence Limit0.079Better than national
SSI - Colon Surgery: Upper Confidence Limit0.602Better than national
SSI - Colon Surgery: Number of Procedures595Better than national
SSI - Colon Surgery: Predicted Cases16.027Better than national
SSI - Colon Surgery: Observed Cases4Better than national
SSI - Colon Surgery0.250Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.754Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.412Same as national
SSI - Abdominal Hysterectomy: Number of Procedures454Same as national
SSI - Abdominal Hysterectomy: Predicted Cases4.058Same as national
SSI - Abdominal Hysterectomy: Observed Cases7Same as national
SSI - Abdominal Hysterectomy1.725Same as national
MRSA Bacteremia: Lower Confidence Limit1.040Worse than national
MRSA Bacteremia: Upper Confidence Limit2.218Worse than national
MRSA Bacteremia: Patient Days375719Worse than national
MRSA Bacteremia: Predicted Cases17.467Worse than national
MRSA Bacteremia: Observed Cases27Worse than national
MRSA Bacteremia1.546Worse than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.141Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.251Better than national
Clostridium Difficile (C.Diff): Patient Days333868Better than national
Clostridium Difficile (C.Diff): Predicted Cases242.100Better than national
Clostridium Difficile (C.Diff): Observed Cases46Better than national
Clostridium Difficile (C.Diff)0.190Better 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 patients4.1Same as national175
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.1Better than national6443
Death rate for heart attack patients10.7Same as national545
Death rate for CABG surgery patients2.8Same as national340
Death rate for COPD patients7.7Same as national372
Death rate for heart failure patients10.4Same as national1279
Death rate for pneumonia patients14.8Same as national1398
Death rate for stroke patients10.4Better than national958
Pressure ulcer rate0.62Same as national20501
Death rate among surgical inpatients with serious treatable complications165.29Same as national288
Iatrogenic pneumothorax rate0.16Same as national24698
In-hospital fall-associated fracture rate0.22Same as national25402
Postoperative hemorrhage or hematoma rate1.88Same as national6107
Postoperative acute kidney injury requiring dialysis rate2.49Same as national2989
Postoperative respiratory failure rate14.18Worse than national2854
Perioperative pulmonary embolism or deep vein thrombosis rate4.41Same as national6567
Postoperative sepsis rate5.66Same as national2929
Postoperative wound dehiscence rate1.59Same as national1490
Abdominopelvic accidental puncture or laceration rate0.56Same as national5191
CMS Medicare PSI 90: Patient safety and adverse events composite1.17Same 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 patients22.6Not available644
Hospital return days for heart failure patients-7.1Not available1504
Hospital return days for pneumonia patients9.6Not available1505
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national10890
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.5Same as national1577
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.8Same as national914
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national914
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national3311
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.4Same as national644
Rate of readmission for CABG10.9Same as national334
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national417
Heart failure (HF) 30-Day Readmission Rate18.3Same as national1504
Rate of readmission after hip/knee replacement5.7Same as national166
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national1505

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 rating3651
Doctor communication - star rating3651
Communication about medicines - star rating2651
Discharge information - star rating3651
Cleanliness - star rating4651
Quietness - star rating4651
Overall hospital rating - star rating4651
Recommend hospital - star rating4651
Summary star rating3651

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 volumevery high
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 vaccination9416310
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 better175485
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 better170467
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30511
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 seen2333861
Head CT results5714
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients93187
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)8833
Safe Use of Opioids - Concurrent Prescribing1514768
Appropriate care for severe sepsis and septic shock54115
Septic Shock 3-Hour Bundle6537
Septic Shock 6-Hour Bundle8520
Severe Sepsis 3-Hour Bundle77115
Severe Sepsis 6-Hour Bundle8262
Discharged on Antithrombotic Therapy981181
Anticoagulation Therapy for Atrial Fibrillation/Flutter73274
Antithrombotic Therapy by End of Hospital Day 2961029
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 - Jacksonville rated?
Baptist Health Medical Center - Jacksonville has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Baptist Health Medical Center - Jacksonville have emergency services?
Yes. Baptist Health Medical Center - Jacksonville operates a 24/7 emergency department.
Where is Baptist Health Medical Center - Jacksonville located?
Baptist Health Medical Center - Jacksonville is located at 800 Prudential Dr, Jacksonville, FL 32207.
What type of hospital is Baptist Health Medical Center - Jacksonville?
Baptist Health Medical Center - Jacksonville 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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