JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

North Carolina Baptist Hospital

4 / 5

At a glance

North Carolina Baptist Hospital carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 Limit0.412Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.936Better than national
Central Line Associated Bloodstream Infection: Number of Device Days30887Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases36.289Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases23Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.634Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.160Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.460Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days30594Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases49.880Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases14Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.281Better than national
SSI - Colon Surgery: Lower Confidence Limit0.611Same as national
SSI - Colon Surgery: Upper Confidence Limit1.548Same as national
SSI - Colon Surgery: Number of Procedures632Same as national
SSI - Colon Surgery: Predicted Cases18.021Same as national
SSI - Colon Surgery: Observed Cases18Same as national
SSI - Colon Surgery0.999Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.782Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.013Same as national
SSI - Abdominal Hysterectomy: Number of Procedures325Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.110Same as national
SSI - Abdominal Hysterectomy: Observed Cases6Same as national
SSI - Abdominal Hysterectomy1.929Same as national
MRSA Bacteremia: Lower Confidence Limit0.943Same as national
MRSA Bacteremia: Upper Confidence Limit1.870Same as national
MRSA Bacteremia: Patient Days261310Same as national
MRSA Bacteremia: Predicted Cases24.497Same as national
MRSA Bacteremia: Observed Cases33Same as national
MRSA Bacteremia1.347Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.283Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.505Better than national
Clostridium Difficile (C.Diff): Patient Days229292Better than national
Clostridium Difficile (C.Diff): Predicted Cases120.492Better than national
Clostridium Difficile (C.Diff): Observed Cases46Better than national
Clostridium Difficile (C.Diff)0.382Better 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 patients3.4Same as national53
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national2206
Death rate for heart attack patients13Same as national284
Death rate for CABG surgery patients4.4Worse than national244
Death rate for COPD patients8.8Same as national89
Death rate for heart failure patients10.7Same as national468
Death rate for pneumonia patients12.7Same as national236
Death rate for stroke patients13Same as national300
Pressure ulcer rate1.45Worse than national9389
Death rate among surgical inpatients with serious treatable complications156.03Same as national233
Iatrogenic pneumothorax rate0.12Same as national10835
In-hospital fall-associated fracture rate0.33Same as national11325
Postoperative hemorrhage or hematoma rate2.07Same as national3871
Postoperative acute kidney injury requiring dialysis rate1.09Same as national1971
Postoperative respiratory failure rate7.83Same as national1896
Perioperative pulmonary embolism or deep vein thrombosis rate3.16Same as national4146
Postoperative sepsis rate3.48Same as national2029
Postoperative wound dehiscence rate1.74Same as national1078
Abdominopelvic accidental puncture or laceration rate0.97Same as national2706
CMS Medicare PSI 90: Patient safety and adverse events composite1.08Same 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-1.6Not available357
Hospital return days for heart failure patients-6.1Not available586
Hospital return days for pneumonia patients15.6Not available260
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national3913
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national981
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.6Better than national706
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national706
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1205
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.2Same as national357
Rate of readmission for CABG10Same as national232
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national101
Heart failure (HF) 30-Day Readmission Rate18.2Same as national586
Rate of readmission after hip/knee replacement4.5Same as national48
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national260

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 rating31463
Doctor communication - star rating31463
Communication about medicines - star rating21463
Discharge information - star rating31463
Cleanliness - star rating31463
Quietness - star rating31463
Overall hospital rating - star rating41463
Recommend hospital - star rating41463
Summary star rating31463

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 vaccination8124853
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 better187667
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 better187641
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23226
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 seen4104737
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97120
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)7434
Safe Use of Opioids - Concurrent Prescribing1512404
Appropriate care for severe sepsis and septic shock47407
Septic Shock 3-Hour Bundle66144
Septic Shock 6-Hour Bundle9072
Severe Sepsis 3-Hour Bundle67407
Severe Sepsis 6-Hour Bundle92184
Discharged on Antithrombotic Therapy98588
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 286461
Venous Thromboembolism Prophylaxis8018973
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 North Carolina Baptist Hospital rated?
North Carolina Baptist Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does North Carolina Baptist Hospital have emergency services?
Yes. North Carolina Baptist Hospital operates a 24/7 emergency department.
Where is North Carolina Baptist Hospital located?
North Carolina Baptist Hospital is located at Medical Center Boulevard, Winston-Salem, NC 27157.
What type of hospital is North Carolina Baptist Hospital?
North Carolina Baptist 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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