Baptist Health Lexington

Hospital in Lexington, KY, Medicare certification number 180103. CMS publishes 68 quality measures for it.

Medicare certification

Provider of Services

CCN: 180103The 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 - Other
Control type: Other
Participating since: Jul 1, 1966
Last certification: May 1, 2008
Beds: 371
Overall star rating: 4 of 5Care Compare
Address: 1740 Nicholasville Road
Lexington, KY 40503
(859) 260-6104

NPI records for this facility 1

Baptist Healthcare System, Inc
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.53 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.83 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.32 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.42 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.8 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.33 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.63 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 3.6 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.43 (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 expected0.85
- State average 1.08 (computed here)
- National average 1.06
- No different than the national rate
- 1,745 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.96
- State average 1.02 (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 expected167.33
- State average 185.49 (computed here)
- National average 173.3
- No different than the national rate
- 125 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.9
- State average 2.48 (computed here)
- National average 2.4
- No different than the national rate
- 190 patients
- Period from 07/01/2022
Death rate for COPD patients As expected6.6
- State average 9.15 (computed here)
- National average 8.6
- No different than the national rate
- 202 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.7
- State average 12.11 (computed here)
- National average 11.9
- No different than the national rate
- 183 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected10.6
- State average 11.98 (computed here)
- National average 11.1
- No different than the national rate
- 606 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.3
- State average 16.6 (computed here)
- National average 15.2
- No different than the national rate
- 729 patients
- Period from 07/01/2022
Death rate for stroke patients As expected11.6
- State average 12.38 (computed here)
- National average 11.9
- No different than the national rate
- 838 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.5
- State average 4.54 (computed here)
- National average 3.9
- No different than the national rate
- 5,402 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.14
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 9,135 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
- 9,432 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.71
- State average 3.44 (computed here)
- National average 3.52
- No different than the national rate
- 2,491 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.72
- State average 1.71 (computed here)
- National average 1.67
- No different than the national rate
- 975 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.51
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 2,337 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected13.03
- State average 10.2 (computed here)
- National average 9.42
- No different than the national rate
- 942 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected7.68
- State average 5.85 (computed here)
- National average 5.27
- No different than the national rate
- 919 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.47
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 451 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.13
- State average 0.61 (computed here)
- National average 0.63
- No different than the national rate
- 6,629 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.7
- State average 4.2 (computed here)
- National average 4.1
- No different than the national rate
- 33 patients
- Period from 04/01/2023

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected1.25
- State average 0.61
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.23
- State average 0.84
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.07
- State average 0.32
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.13
- State average 0.87
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected0.92
- State average 1.16
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.17
- State average 1.07
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 9.7
- State average 7.25 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 10.5
- State average 6.59 (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) 1.09
- State average 1.01
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 18

Medicare Care Compare

Anticoagulation Therapy for Atrial Fibrillation/Flutter 68
- National average 74.05 (computed here)
- 129 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 62
- State average 68
- National average 65
- 674 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 184
- State average 155
- National average 168
- 5,243 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 232
- State average 277
- National average 287
- 65 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 183
- State average 150
- National average 162
- 5,050 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 232
- State average 210
- National average 257
- 132 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 96.88 (computed here)
- National average 96.1 (computed here)
- 505 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 94
- State average 96
- National average 93
- 32 patients
- Period from 01/01/2024
Head CT results 86
- State average 68
- National average 69
- 14 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 94
- State average 80
- National average 78
- 6,569 patients
- Period from 10/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 1.13 (computed here)
- National average 1.09 (computed here)
- 4,246 patients
- Period from 01/01/2024
Left before being seen 0
- State average 2
- National average 2
- 62,519 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 12
- State average 15
- National average 15
- 4,689 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 80
- State average 77
- National average 73
- 239 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 76
- State average 88
- National average 87
- 140 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 80
- State average 82
- National average 81
- 674 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 91
- State average 95
- National average 93
- 409 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 88
- State average 63.27 (computed here)
- National average 46.51 (computed here)
- 73 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (12)

Antithrombotic Therapy by End of Hospital Day 2 — 5
Emergency department volume — very 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
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 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.3
- State average 14.42 (computed here)
- National average 14.4
- No different than the national rate
- 410 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected22.3
- State average 21.36 (computed here)
- National average 21.3
- No different than the national rate
- 1,098 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 15.5
- State average 13.02 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 263 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -9
- State average 9.52 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 731 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -3.7
- State average 12.61 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 813 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.6
- State average 17.37 (computed here)
- National average 17.3
- No different than the national rate
- 1,178 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected4.9
- State average 5.4 (computed here)
- National average 5.4
- No different than the national rate
- 228 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected11.6
- State average 10.97 (computed here)
- National average 10.7
- No different than the national rate
- 228 patients
- Period from 01/01/2024
Rate of readmission for CABG As expected10.7
- State average 10.55 (computed here)
- National average 11
- No different than the national rate
- 268 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.2
- State average 19.89 (computed here)
- National average 20
- No different than the national rate
- 430 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.8
- State average 13.03 (computed here)
- National average 13
- No different than the national rate
- 113 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1.03 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 732 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

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.