JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Baptist Hospital of Miami

5 / 5

At a glance

Baptist Hospital of Miami carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 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 Limit0.107Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.644Better than national
Central Line Associated Bloodstream Infection: Number of Device Days16119Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases17.196Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.291Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.110Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.666Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10928Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases16.629Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.301Better than national
SSI - Colon Surgery: Lower Confidence Limit0.367Same as national
SSI - Colon Surgery: Upper Confidence Limit1.382Same as national
SSI - Colon Surgery: Number of Procedures447Same as national
SSI - Colon Surgery: Predicted Cases11.948Same as national
SSI - Colon Surgery: Observed Cases9Same as national
SSI - Colon Surgery0.753Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.046Same as national
SSI - Abdominal Hysterectomy: Number of Procedures170Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.464Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.230Better than national
MRSA Bacteremia: Upper Confidence Limit0.939Better than national
MRSA Bacteremia: Patient Days206631Better than national
MRSA Bacteremia: Predicted Cases16.172Better than national
MRSA Bacteremia: Observed Cases8Better than national
MRSA Bacteremia0.495Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.143Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.326Better than national
Clostridium Difficile (C.Diff): Patient Days200303Better than national
Clostridium Difficile (C.Diff): Predicted Cases104.234Better than national
Clostridium Difficile (C.Diff): Observed Cases23Better than national
Clostridium Difficile (C.Diff)0.221Better 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 Rate3.1Better than national1856
Death rate for heart attack patients12.9Same as national167
Death rate for CABG surgery patients1.8Same as national113
Death rate for COPD patients7.1Same as national134
Death rate for heart failure patients9.8Same as national540
Death rate for pneumonia patients12.8Better than national678
Death rate for stroke patients9.6Better than national361
Pressure ulcer rate0.20Same as national8678
Death rate among surgical inpatients with serious treatable complications165.45Same as national129
Iatrogenic pneumothorax rate0.13Same as national8800
In-hospital fall-associated fracture rate0.32Same as national9582
Postoperative hemorrhage or hematoma rate2.39Same as national1968
Postoperative acute kidney injury requiring dialysis rate1.59Same as national651
Postoperative respiratory failure rate10.86Same as national617
Perioperative pulmonary embolism or deep vein thrombosis rate5.17Same as national2051
Postoperative sepsis rate6.49Same as national652
Postoperative wound dehiscence rate1.54Same as national500
Abdominopelvic accidental puncture or laceration rate1.39Same as national1752
CMS Medicare PSI 90: Patient safety and adverse events composite1.03Same 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 patients30.8Not available162
Hospital return days for heart failure patients25.8Not available613
Hospital return days for pneumonia patients34.9Not available734
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national3486
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national365
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.2Same as national797
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national797
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national501
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national162
Rate of readmission for CABG9.5Same as national111
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national140
Heart failure (HF) 30-Day Readmission Rate20.6Same as national613
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.4Same as national734

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 rating31090
Doctor communication - star rating31090
Communication about medicines - star rating21090
Discharge information - star rating31090
Cleanliness - star rating31090
Quietness - star rating31090
Overall hospital rating - star rating31090
Recommend hospital - star rating41090
Summary star rating31090

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 vaccination8510464
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 better236378
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 better235370
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 seen0100412
Head CT results8730
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100180
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing125247
Appropriate care for severe sepsis and septic shock9493
Septic Shock 3-Hour Bundle10034
Septic Shock 6-Hour Bundle10029
Severe Sepsis 3-Hour Bundle9793
Severe Sepsis 6-Hour Bundle9683
Discharged on Antithrombotic Therapy98671
Anticoagulation Therapy for Atrial Fibrillation/Flutter82193
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9119866
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 Hospital of Miami rated?
Baptist Hospital of Miami has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Baptist Hospital of Miami have emergency services?
Yes. Baptist Hospital of Miami operates a 24/7 emergency department.
Where is Baptist Hospital of Miami located?
Baptist Hospital of Miami is located at 8900 N Kendall Dr, Miami, FL 33176.
What type of hospital is Baptist Hospital of Miami?
Baptist Hospital of Miami 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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