JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Shelby Baptist Medical Center

2 / 5

At a glance

Shelby 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 6 and worse 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 Limit0.214Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.294Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4986Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.559Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.843Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.054Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.063Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8561Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.214Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.322Same as national
SSI - Colon Surgery: Lower Confidence Limit0.020Same as national
SSI - Colon Surgery: Upper Confidence Limit1.928Same as national
SSI - Colon Surgery: Number of Procedures94Same as national
SSI - Colon Surgery: Predicted Cases2.558Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.391Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.299Same as national
MRSA Bacteremia: Upper Confidence Limit3.203Same as national
MRSA Bacteremia: Patient Days36551Same as national
MRSA Bacteremia: Predicted Cases2.549Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.177Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.207Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.935Better than national
Clostridium Difficile (C.Diff): Patient Days36548Better than national
Clostridium Difficile (C.Diff): Predicted Cases14.814Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.473Better 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 patients4.8Same as national46
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national659
Death rate for heart attack patients14.1Same as national69
Death rate for CABG surgery patients2.2Same as national31
Death rate for COPD patients9.4Same as national36
Death rate for heart failure patients10.6Same as national189
Death rate for pneumonia patients16.9Same as national203
Death rate for stroke patients16Same as national102
Pressure ulcer rate1.01Same as national2243
Death rate among surgical inpatients with serious treatable complications142.26Same as national65
Iatrogenic pneumothorax rate0.30Same as national2764
In-hospital fall-associated fracture rate0.24Same as national2756
Postoperative hemorrhage or hematoma rate1.87Same as national727
Postoperative acute kidney injury requiring dialysis rate2.47Same as national293
Postoperative respiratory failure rate13.24Same as national325
Perioperative pulmonary embolism or deep vein thrombosis rate3.68Same as national797
Postoperative sepsis rate10.68Worse than national296
Postoperative wound dehiscence rate1.99Same as national156
Abdominopelvic accidental puncture or laceration rate1.13Same as national550
CMS Medicare PSI 90: Patient safety and adverse events composite1.45Worse 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 patients23.3Not available58
Hospital return days for heart failure patients0.3Not available212
Hospital return days for pneumonia patients29.5Not available216
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14Same as national1004
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national205
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national58
Rate of readmission for CABG11.5Same as national31
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national44
Heart failure (HF) 30-Day Readmission Rate19.9Same as national212
Rate of readmission after hip/knee replacement5.3Same as national46
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national216

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 rating2881
Doctor communication - star rating3881
Communication about medicines - star rating2881
Discharge information - star rating2881
Cleanliness - star rating2881
Quietness - star rating3881
Overall hospital rating - star rating2881
Recommend hospital - star rating3881
Summary star rating2881

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 volumemedium
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 Hyperglycemia1111064
Hospital Harm - Severe Hypoglycemia11851
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination751884
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 better190440
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 better188423
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 seen231532
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 Prescribing172761
Appropriate care for severe sepsis and septic shock73130
Septic Shock 3-Hour Bundle9647
Septic Shock 6-Hour Bundle10038
Severe Sepsis 3-Hour Bundle78130
Severe Sepsis 6-Hour Bundle9361
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis813480
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Shelby Baptist Medical Center rated?
Shelby Baptist Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Shelby Baptist Medical Center have emergency services?
Yes. Shelby Baptist Medical Center operates a 24/7 emergency department.
Where is Shelby Baptist Medical Center located?
Shelby Baptist Medical Center is located at 1000 First Street North, Alabaster, AL 35007.
What type of hospital is Shelby Baptist Medical Center?
Shelby 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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