JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mississippi Baptist Medical Center

2 / 5

At a glance

Mississippi Baptist Medical Center carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 6. 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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.311Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.976Better than national
Central Line Associated Bloodstream Infection: Number of Device Days19840Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases20.898Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases12Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.574Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.377Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.981Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days21856Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases27.173Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases17Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.626Better than national
SSI - Colon Surgery: Lower Confidence Limit0.711Same as national
SSI - Colon Surgery: Upper Confidence Limit1.972Same as national
SSI - Colon Surgery: Number of Procedures454Same as national
SSI - Colon Surgery: Predicted Cases12.262Same as national
SSI - Colon Surgery: Observed Cases15Same as national
SSI - Colon Surgery1.223Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit1.023Worse than national
SSI - Abdominal Hysterectomy: Upper Confidence Limit6.188Worse than national
SSI - Abdominal Hysterectomy: Number of Procedures195Worse than national
SSI - Abdominal Hysterectomy: Predicted Cases1.791Worse than national
SSI - Abdominal Hysterectomy: Observed Cases5Worse than national
SSI - Abdominal Hysterectomy2.792Worse than national
MRSA Bacteremia: Lower Confidence Limit0.349Same as national
MRSA Bacteremia: Upper Confidence Limit1.223Same as national
MRSA Bacteremia: Patient Days133899Same as national
MRSA Bacteremia: Predicted Cases14.574Same as national
MRSA Bacteremia: Observed Cases10Same as national
MRSA Bacteremia0.686Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.412Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.710Better than national
Clostridium Difficile (C.Diff): Patient Days127555Better than national
Clostridium Difficile (C.Diff): Predicted Cases95.345Better than national
Clostridium Difficile (C.Diff): Observed Cases52Better than national
Clostridium Difficile (C.Diff)0.545Better 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 patients2.8Same as national257
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national2863
Death rate for heart attack patients14.6Same as national214
Death rate for CABG surgery patients4.3Same as national108
Death rate for COPD patients8.9Same as national203
Death rate for heart failure patients11.7Same as national709
Death rate for pneumonia patients16.2Same as national761
Death rate for stroke patients11.4Same as national315
Pressure ulcer rate4.54Worse than national10349
Death rate among surgical inpatients with serious treatable complications182.45Same as national220
Iatrogenic pneumothorax rate0.24Same as national11187
In-hospital fall-associated fracture rate0.26Same as national11775
Postoperative hemorrhage or hematoma rate3.06Same as national3344
Postoperative acute kidney injury requiring dialysis rate2.33Same as national1403
Postoperative respiratory failure rate12.08Same as national1426
Perioperative pulmonary embolism or deep vein thrombosis rate5.84Worse than national3474
Postoperative sepsis rate7.42Same as national1281
Postoperative wound dehiscence rate1.60Same as national819
Abdominopelvic accidental puncture or laceration rate1.27Same as national2722
CMS Medicare PSI 90: Patient safety and adverse events composite2.43Worse 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 patients37.5Not available211
Hospital return days for heart failure patients15.1Not available812
Hospital return days for pneumonia patients42.4Not available794
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.1Worse than national4817
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national429
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.8Same as national465
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national465
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1018
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.7Same as national211
Rate of readmission for CABG10.6Same as national103
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national232
Heart failure (HF) 30-Day Readmission Rate19.3Same as national812
Rate of readmission after hip/knee replacement3.7Same as national254
Pneumonia (PN) 30-Day Readmission Rate18.4Worse than national794

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 rating41211
Doctor communication - star rating41211
Communication about medicines - star rating21211
Discharge information - star rating31211
Cleanliness - star rating21211
Quietness - star rating41211
Overall hospital rating - star rating41211
Recommend hospital - star rating41211
Summary star rating31211

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 volumehigh
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 vaccination883930
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 better211503
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 better213487
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better15812
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 seen655411
Head CT results9111
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients91214
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing136658
Appropriate care for severe sepsis and septic shock43669
Septic Shock 3-Hour Bundle52188
Septic Shock 6-Hour Bundle8673
Severe Sepsis 3-Hour Bundle65669
Severe Sepsis 6-Hour Bundle87337
Discharged on Antithrombotic Therapy98428
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 298389
Venous Thromboembolism Prophylaxis9012069
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 Mississippi Baptist Medical Center rated?
Mississippi Baptist Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Mississippi Baptist Medical Center have emergency services?
Yes. Mississippi Baptist Medical Center operates a 24/7 emergency department.
Where is Mississippi Baptist Medical Center located?
Mississippi Baptist Medical Center is located at 1225 N State St, Jackson, MS 39202.
What type of hospital is Mississippi Baptist Medical Center?
Mississippi Baptist Medical Center 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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