Acute Care Hospitals · Voluntary non-profit - Private
Baptist Memorial Hospital North Ms
- 1100 Belk Blvd, Oxford, MS 38655
- (662) 232-8100
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Baptist Memorial Hospital North Ms carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 2.
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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.054 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.057 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 7048 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 6.251 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 2 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.320 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.008 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.781 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 6323 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 6.318 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 1 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.158 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.198 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.123 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 146 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 3.846 | Same as national |
| SSI - Colon Surgery: Observed Cases | 3 | Same as national |
| SSI - Colon Surgery | 0.780 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 47 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.460 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 1 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | — | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.141 | Same as national |
| MRSA Bacteremia: Patient Days | 54726 | Same as national |
| MRSA Bacteremia: Predicted Cases | 2.625 | Same as national |
| MRSA Bacteremia: Observed Cases | 0 | Same as national |
| MRSA Bacteremia | 0.000 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.105 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.536 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 52632 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 23.268 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 6 | Better than national |
| Clostridium Difficile (C.Diff) | 0.258 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 3.9 | Same as national | 31 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.8 | Same as national | 1926 |
| Death rate for heart attack patients | 12.8 | Same as national | 289 |
| Death rate for CABG surgery patients | 3.1 | Same as national | 77 |
| Death rate for COPD patients | 7.6 | Same as national | 157 |
| Death rate for heart failure patients | 12 | Same as national | 596 |
| Death rate for pneumonia patients | 15.7 | Same as national | 738 |
| Death rate for stroke patients | 12.7 | Same as national | 165 |
| Pressure ulcer rate | 0.20 | Same as national | 6808 |
| Death rate among surgical inpatients with serious treatable complications | 136.87 | Same as national | 127 |
| Iatrogenic pneumothorax rate | 0.21 | Same as national | 8957 |
| In-hospital fall-associated fracture rate | 0.24 | Same as national | 9052 |
| Postoperative hemorrhage or hematoma rate | 2.88 | Same as national | 1473 |
| Postoperative acute kidney injury requiring dialysis rate | 1.42 | Same as national | 368 |
| Postoperative respiratory failure rate | 8.37 | Same as national | 378 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 4.45 | Same as national | 1649 |
| Postoperative sepsis rate | 6.02 | Same as national | 351 |
| Postoperative wound dehiscence rate | 1.47 | Same as national | 398 |
| Abdominopelvic accidental puncture or laceration rate | 0.93 | Same as national | 1414 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.90 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 0.9 | Not available | 307 |
| Hospital return days for heart failure patients | 16 | Not available | 745 |
| Hospital return days for pneumonia patients | 5.9 | Not available | 837 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 16.2 | Worse than national | 3395 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 14.3 | Same as national | 401 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | — | Not available | — |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | — | Not available | — |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as national | 604 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.4 | Same as national | 307 |
| Rate of readmission for CABG | 11.3 | Same as national | 74 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19 | Same as national | 174 |
| Heart failure (HF) 30-Day Readmission Rate | 22.4 | Worse than national | 745 |
| Rate of readmission after hip/knee replacement | 5.6 | Same as national | 33 |
| Pneumonia (PN) 30-Day Readmission Rate | 16.4 | Same as national | 837 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 5 | 632 |
| Doctor communication - star rating | 4 | 632 |
| Communication about medicines - star rating | 3 | 632 |
| Discharge information - star rating | 3 | 632 |
| Cleanliness - star rating | 3 | 632 |
| Quietness - star rating | 4 | 632 |
| Overall hospital rating - star rating | 4 | 632 |
| Recommend hospital - star rating | 5 | 632 |
| Summary star rating | 4 | 632 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | 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 vaccination | 89 | 1926 |
| 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 better | 155 | 555 |
| 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 better | 153 | 529 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 218 | 14 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 303 | 12 |
| Left before being seen | 1 | 47172 |
| Head CT results | 76 | 29 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | — | — |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 11 | 3072 |
| Appropriate care for severe sepsis and septic shock | 86 | 670 |
| Septic Shock 3-Hour Bundle | 84 | 188 |
| Septic Shock 6-Hour Bundle | 97 | 110 |
| Severe Sepsis 3-Hour Bundle | 92 | 674 |
| Severe Sepsis 6-Hour Bundle | 99 | 454 |
| Discharged on Antithrombotic Therapy | 84 | 143 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 94 | 138 |
| Venous Thromboembolism Prophylaxis | 99 | 6774 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Baptist Memorial Hospital North Ms rated?
- Baptist Memorial Hospital North Ms has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Baptist Memorial Hospital North Ms have emergency services?
- Yes. Baptist Memorial Hospital North Ms operates a 24/7 emergency department.
- Where is Baptist Memorial Hospital North Ms located?
- Baptist Memorial Hospital North Ms is located at 1100 Belk Blvd, Oxford, MS 38655.
- What type of hospital is Baptist Memorial Hospital North Ms?
- Baptist Memorial Hospital North Ms is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.