JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Baylor Scott & White Heart & Vascular Hospital - Dallas

5 / 5

At a glance

Baylor Scott & White Heart & Vascular Hospital - Dallas carries a 5-star CMS overall rating — above the national norm.

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 Limit—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit—Not available
Central Line Associated Bloodstream Infection: Number of Device Days—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)—Not available
SSI - Colon Surgery: Lower Confidence Limit—Not available
SSI - Colon Surgery: Upper Confidence Limit—Not available
SSI - Colon Surgery: Number of Procedures—Not available
SSI - Colon Surgery: Predicted Cases—Not available
SSI - Colon Surgery: Observed Cases—Not available
SSI - Colon Surgery—Not available
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Number of Procedures—Not available
SSI - Abdominal Hysterectomy: Predicted Cases—Not available
SSI - Abdominal Hysterectomy: Observed Cases—Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit—Not available
MRSA Bacteremia: Upper Confidence Limit—Not available
MRSA Bacteremia: Patient Days12817Not available
MRSA Bacteremia: Predicted Cases0.392Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA Bacteremia—Not available
Clostridium Difficile (C.Diff): Lower Confidence Limit—Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.206Same as national
Clostridium Difficile (C.Diff): Patient Days12817Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.483Same as national
Clostridium Difficile (C.Diff): Observed Cases0Same as national
Clostridium Difficile (C.Diff)0.000Same as 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 patients—Not available—
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.2Same as national500
Death rate for heart attack patients11.8Same as national126
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients—Not available—
Death rate for heart failure patients9.1Same as national148
Death rate for pneumonia patients—Not available—
Death rate for stroke patients—Not available—
Pressure ulcer rate0.36Same as national930
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.26Same as national1860
In-hospital fall-associated fracture rate0.25Same as national1960
Postoperative hemorrhage or hematoma rate2.17Same as national953
Postoperative acute kidney injury requiring dialysis rate1.35Same as national460
Postoperative respiratory failure rate8.46Same as national528
Perioperative pulmonary embolism or deep vein thrombosis rate2.84Same as national944
Postoperative sepsis rate4.35Same as national502
Postoperative wound dehiscence rate1.74Same as national35
Abdominopelvic accidental puncture or laceration rate1.29Same as national167
CMS Medicare PSI 90: Patient safety and adverse events composite0.83Same 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 patients19.6Not available153
Hospital return days for heart failure patients11.9Not available183
Hospital return days for pneumonia patients—Not available—
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national763
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)—Not available—
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 surgery1Same as national326
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.5Same as national153
Rate of readmission for CABG—Not available—
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients—Not available—
Heart failure (HF) 30-Day Readmission Rate18.6Same as national183
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate—Not available—

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 rating5602
Doctor communication - star rating4602
Communication about medicines - star rating4602
Discharge information - star rating4602
Cleanliness - star rating5602
Quietness - star rating4602
Overall hospital rating - star rating5602
Recommend hospital - star rating5602
Summary star rating4602

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 volume——
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 vaccination952540
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——
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——
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 seen——
Head CT results——
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 Prescribing151250
Appropriate care for severe sepsis and septic shock——
Septic Shock 3-Hour Bundle——
Septic Shock 6-Hour Bundle——
Severe Sepsis 3-Hour Bundle——
Severe Sepsis 6-Hour Bundle——
Discharged on Antithrombotic Therapy——
Anticoagulation Therapy for Atrial Fibrillation/Flutter——
Antithrombotic Therapy by End of Hospital Day 2——
Venous Thromboembolism Prophylaxis853811
Intensive Care Unit Venous Thromboembolism Prophylaxis891440

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 MeasureNo—

Frequently asked questions

How is Baylor Scott & White Heart & Vascular Hospital - Dallas rated?
Baylor Scott & White Heart & Vascular Hospital - Dallas has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Baylor Scott & White Heart & Vascular Hospital - Dallas have emergency services?
Yes. Baylor Scott & White Heart & Vascular Hospital - Dallas operates a 24/7 emergency department.
Where is Baylor Scott & White Heart & Vascular Hospital - Dallas located?
Baylor Scott & White Heart & Vascular Hospital - Dallas is located at 621 North Hall Street, Dallas, TX 75226.
What type of hospital is Baylor Scott & White Heart & Vascular Hospital - Dallas?
Baylor Scott & White Heart & Vascular Hospital - Dallas 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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