Baptist Health Regional Hospitals

Doing business as Baptist Health - Fort Smith

Hospital in Fort Smith, AR, Medicare certification number 040055. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 040055The 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: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Nov 18, 2022
Beds: 492
Overall star rating: 2 of 5Care Compare
Most recent change of ownership: Nov 1, 2018 (2 total)
Address: 1001 Towson Avenue
Fort Smith, AR 72901
(479) 441-4000

NPI records for this facility (CCN to NPI Mapping) 1

Baptist Health Regional Hospitals

dba Baptist Health - Fort Smith
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
Medicare enrollment

Units certified under this facility 1

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

Baptist Health - Fort Smith Hospital, CCN 04S055

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse2 of 5
- State average 3.24 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.7 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 2.89 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 3.32 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse2 of 5
- State average 3.38 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse2 of 5
- State average 3.38 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.84 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.59 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse2 of 5
- State average 3.22 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 356

Page 1 of 15Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Jimmy David Acklin, M.D.
- Family Medicine Physician
- Fort Smith, AR
- NPI 1356345052
Amber R Acord, PA
- Physician Assistant
- Ratcliff, AR
- NPI 1588138267
Laura L Adams, MD
- Family Medicine Physician
- Fort Smith, AR
- NPI 1740277557
Abdul-Nasser Adjei, MD
- Cardiovascular Disease Physician
- Fort Smith, AR
- NPI 1124015243
John P Agent, DO
- Internal Medicine Physician
- Sallisaw, OK
- NPI 1649217191
Toni Angela Aguilera, CRNA
- Certified Registered Nurse Anesthetist
- El Paso, TX
- NPI 1194821447
Karunakar Akasapu, M.D.,
- Pulmonary Disease Physician
- North Richland Hills, TX
- NPI 1366671117
Saeem Akhtar, MD
- Internal Medicine Physician
- Fort Smith, AR
- NPI 1619497435
Nabil Akkad, MD
- Surgery Physician
- Fort Smith, AR
- NPI 1477548485
Kalyan Akkineni, MD
- Internal Medicine Physician
- Fort Smith, AR
- NPI 1679780969
Fareeda Ann Al Refai, M.D.
- Diagnostic Radiology Physician
- Fort Smith, AR
- NPI 1497735047
Emad Al-Ghussain, M.D.
- Hospitalist Physician
- Fort Smith, AR
- NPI 1538187190
Nawaf Al-Hashemi, MD
- Hospitalist Physician
- Farmington, MO
- NPI 1811414626
Mansoor Alam, MD
- Internal Medicine Physician
- Bentonville, AR
- NPI 1174750962
Mohammad Aldaas, M.D.
- Hospitalist Physician
- Rochester, NY
- NPI 1790176428
Carlisle J Alderink, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Fort Smith, AR
- NPI 1326008251
Rebecca Marie Aleck, D.O.
- Hospitalist Physician
- Siloam Springs, AR
- NPI 1598030603
Tiffany Alexander, M.D.
- Obstetrics & Gynecology Physician
- Fort Smith, AR
- NPI 1164950499
Jean Bernard Amargos Zayas, MD
- Family Medicine Physician
- Fort Smith, AR
- NPI 1992313159
Mohammed A. Amari, M.D., FCCP
- Pulmonary Disease Physician
- Bentonville, AR
- NPI 1447353339
Amir Amidi, MD
- Pain Clinic/Center
- Fort Smith, AR
- NPI 1306475470
Raha Amini
- Family Medicine Physician
- Madison, MS
- NPI 1730708298
Adewumi O D Amole, MBBS
- Neuroradiology Physician
- Little Rock, AR
- NPI 1558565143
Shelly Dawn Anderson, DNP APRN, CNP
- Family Nurse Practitioner
- Poteau, OK
- NPI 1346639283
Dorotie Andre, ARNP
- Nurse Practitioner
- Vero Beach, FL
- NPI 1285099440

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate Worse2.03
- State average 1.06 (computed here)
- National average 1.06
- Worse than the national rate
- 1,295 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.3
- State average 1.04 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected169.06
- State average 180.09 (computed here)
- National average 173.3
- No different than the national rate
- 57 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected3.1
- State average 3.29 (computed here)
- National average 2.4
- No different than the national rate
- 60 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.1
- State average 9.28 (computed here)
- National average 8.6
- No different than the national rate
- 216 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected13.1
- State average 12.22 (computed here)
- National average 11.9
- No different than the national rate
- 230 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.7
- State average 11.67 (computed here)
- National average 11.1
- No different than the national rate
- 494 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected12.2
- State average 16.22 (computed here)
- National average 15.2
- No different than the national rate
- 602 patients
- Period from 07/01/2022
Death rate for stroke patients As expected16.6
- State average 15.63 (computed here)
- National average 11.9
- No different than the national rate
- 210 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.5
- State average 4.44 (computed here)
- National average 3.9
- No different than the national rate
- 2,453 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.16
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 6,277 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.25
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 6,598 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.04
- State average 3.34 (computed here)
- National average 3.52
- No different than the national rate
- 1,333 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.31
- State average 1.61 (computed here)
- National average 1.67
- No different than the national rate
- 361 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.13
- State average 2.37 (computed here)
- National average 2.34
- No different than the national rate
- 1,214 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected8.25
- State average 9.89 (computed here)
- National average 9.42
- No different than the national rate
- 356 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.07
- State average 5.22 (computed here)
- National average 5.27
- No different than the national rate
- 346 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.89
- State average 1.81 (computed here)
- National average 1.77
- No different than the national rate
- 311 patients
- Period from 07/01/2022
Pressure ulcer rate Worse1.89
- State average 0.73 (computed here)
- National average 0.63
- Worse than the national rate
- 5,638 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (1)

Rate of complications for hip/knee replacement patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.6
- State average 0.46
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.24
- State average 0.61
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.38
- State average 0.35
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.71
- State average 0.9
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.55
- State average 0.75
- 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 10.9
- State average 7.66 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 9.6
- State average 6.84 (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 1.03
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Anticoagulation Therapy for Atrial Fibrillation/Flutter 65
- State average 68 (computed here)
- National average 74.05 (computed here)
- 66 patients
- Period from 01/01/2024
Antithrombotic Therapy by End of Hospital Day 2 92
- State average 91.85 (computed here)
- National average 92.79 (computed here)
- 210 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 78
- State average 68
- National average 65
- 226 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 134
- State average 156
- National average 168
- 371 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 220
- State average 239
- National average 287
- 41 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 124
- State average 150
- National average 162
- 314 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 166
- State average 226
- National average 257
- 16 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 97
- State average 95.59 (computed here)
- National average 96.1 (computed here)
- 219 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 75
- State average 94
- National average 93
- 145 patients
- Period from 01/01/2024
Head CT results 62
- State average 72
- National average 69
- 13 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 62
- State average 78
- National average 78
- 1,641 patients
- Period from 10/01/2024
Left before being seen 2
- State average 2
- National average 2
- 54,622 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 17
- State average 16
- National average 15
- 3,069 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 88
- State average 78
- National average 73
- 101 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 97
- State average 90
- National average 87
- 75 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 86
- State average 82
- National average 81
- 226 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 96
- State average 92
- National average 93
- 142 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (13)

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
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
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected15
- State average 14.43 (computed here)
- National average 14.4
- No different than the national rate
- 312 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.7
- State average 21.64 (computed here)
- National average 21.3
- No different than the national rate
- 779 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 37.1
- State average 7.8 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 239 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 25.6
- State average 6.34 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 597 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -10.5
- State average 4.76 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 648 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected15.5
- State average 17.32 (computed here)
- National average 17.3
- No different than the national rate
- 871 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.3
- State average 5.29 (computed here)
- National average 5.4
- No different than the national rate
- 157 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.8
- State average 10.89 (computed here)
- National average 10.7
- No different than the national rate
- 157 patients
- Period from 01/01/2024
Rate of readmission for CABG As expected12.5
- State average 11.09 (computed here)
- National average 11
- No different than the national rate
- 87 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20
- State average 19.7 (computed here)
- National average 20
- No different than the national rate
- 323 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected14.1
- State average 13.1 (computed here)
- National average 13
- No different than the national rate
- 955 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 1 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 551 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission after hip/knee replacement — 1

Other hospitals in Fort Smith, AR

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, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

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.