JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Baptist Memorial Hospital

3 / 5

At a glance

Baptist Memorial Hospital 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 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 Limit0.397Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.872Better than national
Central Line Associated Bloodstream Infection: Number of Device Days37950Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases41.683Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases25Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.600Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.343Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.869Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days22271Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases32.097Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases18Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.561Better than national
SSI - Colon Surgery: Lower Confidence Limit0.431Same as national
SSI - Colon Surgery: Upper Confidence Limit1.512Same as national
SSI - Colon Surgery: Number of Procedures427Same as national
SSI - Colon Surgery: Predicted Cases11.787Same as national
SSI - Colon Surgery: Observed Cases10Same as national
SSI - Colon Surgery0.848Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.571Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.932Same as national
SSI - Abdominal Hysterectomy: Number of Procedures469Same as national
SSI - Abdominal Hysterectomy: Predicted Cases4.256Same as national
SSI - Abdominal Hysterectomy: Observed Cases6Same as national
SSI - Abdominal Hysterectomy1.410Same as national
MRSA Bacteremia: Lower Confidence Limit0.349Same as national
MRSA Bacteremia: Upper Confidence Limit1.048Same as national
MRSA Bacteremia: Patient Days246573Same as national
MRSA Bacteremia: Predicted Cases20.689Same as national
MRSA Bacteremia: Observed Cases13Same as national
MRSA Bacteremia0.628Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.343Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.605Better than national
Clostridium Difficile (C.Diff): Patient Days223732Better than national
Clostridium Difficile (C.Diff): Predicted Cases104.345Better than national
Clostridium Difficile (C.Diff): Observed Cases48Better than national
Clostridium Difficile (C.Diff)0.460Better 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 patients3.8Same as national113
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national5386
Death rate for heart attack patients13Same as national267
Death rate for CABG surgery patients2.2Same as national257
Death rate for COPD patients6.3Same as national231
Death rate for heart failure patients12Same as national1161
Death rate for pneumonia patients14.6Same as national1180
Death rate for stroke patients13.3Same as national808
Pressure ulcer rate2.95Worse than national17891
Death rate among surgical inpatients with serious treatable complications158.92Same as national344
Iatrogenic pneumothorax rate0.21Same as national20802
In-hospital fall-associated fracture rate0.43Worse than national21602
Postoperative hemorrhage or hematoma rate3.17Same as national5529
Postoperative acute kidney injury requiring dialysis rate3.12Worse than national2919
Postoperative respiratory failure rate12.54Same as national2793
Perioperative pulmonary embolism or deep vein thrombosis rate4.41Same as national5878
Postoperative sepsis rate8.56Worse than national2966
Postoperative wound dehiscence rate1.45Same as national1292
Abdominopelvic accidental puncture or laceration rate1.28Same as national4230
CMS Medicare PSI 90: Patient safety and adverse events composite2.01Worse than 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 patients2Not available274
Hospital return days for heart failure patients26Not available1300
Hospital return days for pneumonia patients26.2Not available1167
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national8675
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.7Same as national1933
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.5Same as national42
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national42
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national1159
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national274
Rate of readmission for CABG11.9Same as national253
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national246
Heart failure (HF) 30-Day Readmission Rate21.4Same as national1300
Rate of readmission after hip/knee replacement6.3Same as national113
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national1167

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 rating21900
Doctor communication - star rating31900
Communication about medicines - star rating21900
Discharge information - star rating31900
Cleanliness - star rating21900
Quietness - star rating31900
Overall hospital rating - star rating31900
Recommend hospital - star rating31900
Summary star rating31900

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 vaccination896386
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 better174645
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 better174625
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better16215
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 seen3141491
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98298
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing1412180
Appropriate care for severe sepsis and septic shock62582
Septic Shock 3-Hour Bundle64149
Septic Shock 6-Hour Bundle9170
Severe Sepsis 3-Hour Bundle78585
Severe Sepsis 6-Hour Bundle90275
Discharged on Antithrombotic Therapy96872
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296763
Venous Thromboembolism Prophylaxis9219677
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 Memorial Hospital rated?
Baptist Memorial Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Baptist Memorial Hospital have emergency services?
Yes. Baptist Memorial Hospital operates a 24/7 emergency department.
Where is Baptist Memorial Hospital located?
Baptist Memorial Hospital is located at 6019 Walnut Grove Road, Memphis, TN 38120.
What type of hospital is Baptist Memorial Hospital?
Baptist Memorial Hospital 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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