JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Baylor Scott & White Medical Center Hillcrest

4 / 5

At a glance

Baylor Scott & White Medical Center Hillcrest 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 6.

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 Limit0.062Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.229Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4976Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.375Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.372Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.005Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.462Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7552Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases10.667Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.094Better than national
SSI - Colon Surgery: Lower Confidence Limit0.152Same as national
SSI - Colon Surgery: Upper Confidence Limit1.627Same as national
SSI - Colon Surgery: Number of Procedures178Same as national
SSI - Colon Surgery: Predicted Cases5.018Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.598Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit1.433Worse than national
SSI - Abdominal Hysterectomy: Upper Confidence Limit8.672Worse than national
SSI - Abdominal Hysterectomy: Number of Procedures138Worse than national
SSI - Abdominal Hysterectomy: Predicted Cases1.278Worse than national
SSI - Abdominal Hysterectomy: Observed Cases5Worse than national
SSI - Abdominal Hysterectomy3.912Worse than national
MRSA Bacteremia: Lower Confidence Limit0.407Same as national
MRSA Bacteremia: Upper Confidence Limit2.463Same as national
MRSA Bacteremia: Patient Days78696Same as national
MRSA Bacteremia: Predicted Cases4.500Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia1.111Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.119Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.488Better than national
Clostridium Difficile (C.Diff): Patient Days68440Better than national
Clostridium Difficile (C.Diff): Predicted Cases31.115Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.257Better 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 patients2.6Same as national150
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national1222
Death rate for heart attack patients12.2Same as national125
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.5Same as national125
Death rate for heart failure patients14.2Same as national227
Death rate for pneumonia patients16.3Same as national292
Death rate for stroke patients14.6Same as national135
Pressure ulcer rate0.42Same as national3985
Death rate among surgical inpatients with serious treatable complications145.31Same as national49
Iatrogenic pneumothorax rate0.17Same as national5201
In-hospital fall-associated fracture rate0.27Same as national4981
Postoperative hemorrhage or hematoma rate2.20Same as national1099
Postoperative acute kidney injury requiring dialysis rate1.55Same as national392
Postoperative respiratory failure rate6.45Same as national394
Perioperative pulmonary embolism or deep vein thrombosis rate2.94Same as national1134
Postoperative sepsis rate6.05Same as national367
Postoperative wound dehiscence rate1.66Same as national239
Abdominopelvic accidental puncture or laceration rate0.88Same as national874
CMS Medicare PSI 90: Patient safety and adverse events composite0.84Same 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 patients-25.9Not available114
Hospital return days for heart failure patients7.3Not available251
Hospital return days for pneumonia patients-26.8Not available304
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national2080
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national591
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national204
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national204
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national603
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.9Same as national114
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.2Same as national138
Heart failure (HF) 30-Day Readmission Rate19.7Same as national251
Rate of readmission after hip/knee replacement4.5Same as national147
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national304

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 rating41415
Doctor communication - star rating41415
Communication about medicines - star rating31415
Discharge information - star rating41415
Cleanliness - star rating41415
Quietness - star rating41415
Overall hospital rating - star rating41415
Recommend hospital - star rating51415
Summary star rating41415

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 vaccination932484
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 better250386
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 better247375
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 seen469484
Head CT results8816
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10077
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing154303
Appropriate care for severe sepsis and septic shock73180
Septic Shock 3-Hour Bundle6534
Septic Shock 6-Hour Bundle8217
Severe Sepsis 3-Hour Bundle86180
Severe Sepsis 6-Hour Bundle9069
Discharged on Antithrombotic Therapy98230
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis817406
Intensive Care Unit Venous Thromboembolism Prophylaxis931656

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 Baylor Scott & White Medical Center Hillcrest rated?
Baylor Scott & White Medical Center Hillcrest has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Baylor Scott & White Medical Center Hillcrest have emergency services?
Yes. Baylor Scott & White Medical Center Hillcrest operates a 24/7 emergency department.
Where is Baylor Scott & White Medical Center Hillcrest located?
Baylor Scott & White Medical Center Hillcrest is located at 100 Hillcrest Medical Blvd, Waco, TX 76712.
What type of hospital is Baylor Scott & White Medical Center Hillcrest?
Baylor Scott & White Medical Center Hillcrest 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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