Baptist Medical Center South

Hospital in Montgomery, AL, Medicare certification number 010023. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 010023The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Government - Hospital District or Authority
Control type: Hospital district or authority
Participating since: Jul 1, 1966
Last certification: Oct 15, 2009
Beds: 432
Overall star rating: 2 of 5Care Compare
Address: 2105 East South Boulevard
Montgomery, AL 36116
(334) 288-2100

NPI records for this facility 1

Health Care Authority for Baptist Health, an Affiliate of Uabhs
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse2 of 5
- State average 2.76 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.69 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.06 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 3.28 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.31 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.22 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 4 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.39 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.24 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.9
- State average 1.06 (computed here)
- National average 1.06
- No different than the national rate
- 722 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Worse1.98
- State average 1.05 (computed here)
- National average 1
- Worse than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected194.83
- State average 184.12 (computed here)
- National average 173.3
- No different than the national rate
- 110 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.2
- State average 2.7 (computed here)
- National average 2.4
- No different than the national rate
- 68 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.6
- State average 8.87 (computed here)
- National average 8.6
- No different than the national rate
- 69 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected13.2
- State average 12.46 (computed here)
- National average 11.9
- No different than the national rate
- 153 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected12.7
- State average 11.65 (computed here)
- National average 11.1
- No different than the national rate
- 239 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected15.6
- State average 16.81 (computed here)
- National average 15.2
- No different than the national rate
- 197 patients
- Period from 07/01/2022
Death rate for stroke patients As expected12.7
- State average 14.25 (computed here)
- National average 11.9
- No different than the national rate
- 565 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.5
- State average 4.66 (computed here)
- National average 3.9
- No different than the national rate
- 3,066 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.32
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 4,630 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.22
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 4,637 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate Worse6.52
- State average 3.83 (computed here)
- National average 3.52
- Worse than the national rate
- 1,382 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.64
- State average 1.7 (computed here)
- National average 1.67
- No different than the national rate
- 583 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.62
- State average 2.26 (computed here)
- National average 2.34
- No different than the national rate
- 1,393 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected11.71
- State average 10.91 (computed here)
- National average 9.42
- No different than the national rate
- 631 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected6.43
- State average 5.91 (computed here)
- National average 5.27
- No different than the national rate
- 578 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.66
- State average 1.8 (computed here)
- National average 1.77
- No different than the national rate
- 151 patients
- Period from 07/01/2022
Pressure ulcer rate Worse3.24
- State average 0.62 (computed here)
- National average 0.63
- Worse than the national rate
- 3,630 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.3
- State average 4.47 (computed here)
- National average 4.1
- No different than the national rate
- 151 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected1.12
- State average 0.5
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.67
- State average 0.72
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.6
- State average 0.44
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.02
- State average 0.79
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.95
- State average 0.67
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 2.5
- State average 7.67 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 5.8
- State average 6.48 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.01
- State average 0.98
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 15

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 81
- State average 91.83 (computed here)
- National average 92.79 (computed here)
- 98 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 51
- State average 64
- National average 65
- 117 patients
- Period from 10/01/2024
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 225
- State average 155
- National average 168
- 411 patients
- Period from 10/01/2024
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 220
- State average 149
- National average 162
- 395 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 280
- State average 212
- National average 257
- 16 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 94
- State average 95.75 (computed here)
- National average 96.1 (computed here)
- 90 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 98
- State average 92
- National average 93
- 103 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 94
- State average 72
- National average 78
- 4,580 patients
- Period from 10/01/2024
Left before being seen 2
- State average 2
- National average 2
- 55,999 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 13
- State average 13
- National average 15
- 3,161 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 60
- State average 73
- National average 73
- 52 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 77
- State average 88
- National average 87
- 22 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 79
- State average 80
- National average 81
- 117 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 94
- State average 93
- National average 93
- 69 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 25
- State average 46.43 (computed here)
- National average 46.51 (computed here)
- 32 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (15)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 1
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 7
Emergency department volume — high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Head CT results — 1
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.1
- State average 14.31 (computed here)
- National average 14.4
- No different than the national rate
- 325 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.8
- State average 21.29 (computed here)
- National average 21.3
- No different than the national rate
- 552 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -5.5
- State average 2.62 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 170 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 22
- State average 11.68 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 273 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 22.2
- State average 12.55 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 208 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.7
- State average 17.3 (computed here)
- National average 17.3
- No different than the national rate
- 413 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected4.3
- State average 5.11 (computed here)
- National average 5.4
- No different than the national rate
- 451 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.1
- State average 10.28 (computed here)
- National average 10.7
- No different than the national rate
- 451 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.3
- State average 5.98 (computed here)
- National average 5.8
- No different than the national rate
- 136 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected10.9
- State average 11.67 (computed here)
- National average 11
- No different than the national rate
- 123 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.5
- State average 19.89 (computed here)
- National average 20
- No different than the national rate
- 193 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.4
- State average 12.93 (computed here)
- National average 13
- No different than the national rate
- 203 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 0.99 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 393 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.