JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Baptist Medical Center

3 / 5

At a glance

Baptist Medical Center 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 30 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 Limit0.086Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.520Better than national
Central Line Associated Bloodstream Infection: Number of Device Days23110Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases21.307Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.235Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.124Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.637Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days23262Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases19.586Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.306Better than national
SSI - Colon Surgery: Lower Confidence Limit0.144Better than national
SSI - Colon Surgery: Upper Confidence Limit0.652Better than national
SSI - Colon Surgery: Number of Procedures780Better than national
SSI - Colon Surgery: Predicted Cases21.251Better than national
SSI - Colon Surgery: Observed Cases7Better than national
SSI - Colon Surgery0.329Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.027Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.663Same as national
SSI - Abdominal Hysterectomy: Number of Procedures209Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.852Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.540Same as national
MRSA Bacteremia: Lower Confidence Limit0.309Better than national
MRSA Bacteremia: Upper Confidence Limit0.971Better than national
MRSA Bacteremia: Patient Days290851Better than national
MRSA Bacteremia: Predicted Cases21.010Better than national
MRSA Bacteremia: Observed Cases12Better than national
MRSA Bacteremia0.571Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.097Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.218Better than national
Clostridium Difficile (C.Diff): Patient Days248831Better than national
Clostridium Difficile (C.Diff): Predicted Cases161.677Better than national
Clostridium Difficile (C.Diff): Observed Cases24Better than national
Clostridium Difficile (C.Diff)0.148Better 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 patients2.9Same as national166
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national3583
Death rate for heart attack patients13.7Same as national346
Death rate for CABG surgery patients2.5Same as national158
Death rate for COPD patients11.2Same as national134
Death rate for heart failure patients10.3Same as national753
Death rate for pneumonia patients17.5Same as national834
Death rate for stroke patients13.2Same as national594
Pressure ulcer rate0.33Same as national12753
Death rate among surgical inpatients with serious treatable complications152.49Same as national210
Iatrogenic pneumothorax rate0.32Same as national14839
In-hospital fall-associated fracture rate0.19Same as national15354
Postoperative hemorrhage or hematoma rate2.54Same as national4079
Postoperative acute kidney injury requiring dialysis rate1.43Same as national381
Postoperative respiratory failure rate10.46Same as national407
Perioperative pulmonary embolism or deep vein thrombosis rate3.08Same as national4195
Postoperative sepsis rate5.20Same as national348
Postoperative wound dehiscence rate2.56Same as national917
Abdominopelvic accidental puncture or laceration rate1.16Same as national2869
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 patients11.5Not available349
Hospital return days for heart failure patients-11Not available857
Hospital return days for pneumonia patients-8.4Not available861
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national5603
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national374
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 national1512
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national349
Rate of readmission for CABG10Same as national154
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.4Same as national156
Heart failure (HF) 30-Day Readmission Rate18.5Same as national857
Rate of readmission after hip/knee replacement5.3Same as national171
Pneumonia (PN) 30-Day Readmission Rate14.9Same as national861

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 rating23657
Doctor communication - star rating23657
Communication about medicines - star rating23657
Discharge information - star rating33657
Cleanliness - star rating33657
Quietness - star rating33657
Overall hospital rating - star rating23657
Recommend hospital - star rating23657
Summary star rating23657

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 Hyperglycemia1091937
Hospital Harm - Severe Hypoglycemia39083
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination6610473
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 better1842179
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 better1822073
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30293
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better43316
Left before being seen3183399
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients47199
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)049
Safe Use of Opioids - Concurrent Prescribing1110783
Appropriate care for severe sepsis and septic shock59733
Septic Shock 3-Hour Bundle64236
Septic Shock 6-Hour Bundle81133
Severe Sepsis 3-Hour Bundle78733
Severe Sepsis 6-Hour Bundle95373
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis7527103
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 Medical Center rated?
Baptist Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Baptist Medical Center have emergency services?
Yes. Baptist Medical Center operates a 24/7 emergency department.
Where is Baptist Medical Center located?
Baptist Medical Center is located at 111 Dallas Street, San Antonio, TX 78205.
What type of hospital is Baptist Medical Center?
Baptist Medical Center is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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