Baptist Memorial Hospital Desoto

Hospital in Southaven, MS, Medicare certification number 250141. CMS publishes 63 quality measures for it.

Medicare certification

Provider of Services

CCN: 250141The 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: Proprietary
Control type: Private (for profit)
Participating since: Sep 19, 1988
Last certification: Feb 5, 2021
Beds: 161
Overall star rating: 3 of 5Care Compare
Address: 7601 Southcrest Parkway
Southaven, MS 38671
(662) 772-4000

NPI records for this facility 1

Baptist Memorial Hospital-Desoto, Inc,
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse1 of 5
- State average 3.05 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.84 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.11 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 3.55 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.55 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.5 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 4.24 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.68 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.34 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.82
- State average 1.03 (computed here)
- National average 1.06
- No different than the national rate
- 1,335 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Worse1.47
- 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 expected161.4
- State average 179.33 (computed here)
- National average 173.3
- No different than the national rate
- 114 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.6
- State average 2.76 (computed here)
- National average 2.4
- No different than the national rate
- 101 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.3
- State average 9.67 (computed here)
- National average 8.6
- No different than the national rate
- 183 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.7
- State average 12.85 (computed here)
- National average 11.9
- No different than the national rate
- 129 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.4
- State average 12.17 (computed here)
- National average 11.1
- No different than the national rate
- 500 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected15
- State average 17.67 (computed here)
- National average 15.2
- No different than the national rate
- 779 patients
- Period from 07/01/2022
Death rate for stroke patients As expected7.9
- State average 13.34 (computed here)
- National average 11.9
- No different than the national rate
- 364 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better2.7
- State average 4.72 (computed here)
- National average 3.9
- Better than the national rate
- 3,856 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.19
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 8,677 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.3
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 8,832 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate Worse5.52
- State average 3.74 (computed here)
- National average 3.52
- Worse than the national rate
- 1,401 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.16
- State average 1.72 (computed here)
- National average 1.67
- No different than the national rate
- 278 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.89
- State average 2.4 (computed here)
- National average 2.34
- No different than the national rate
- 1,224 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected13.35
- State average 10.07 (computed here)
- National average 9.42
- No different than the national rate
- 286 patients
- Period from 07/01/2022
Postoperative sepsis rate Worse9.17
- State average 5.46 (computed here)
- National average 5.27
- Worse than the national rate
- 288 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.87
- State average 1.74 (computed here)
- National average 1.77
- No different than the national rate
- 235 patients
- Period from 07/01/2022
Pressure ulcer rate As expected1.04
- State average 0.7 (computed here)
- National average 0.63
- No different than the national rate
- 7,732 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 expected0.56
- State average 0.63
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.66
- State average 0.66
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.3
- State average 0.39
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.71
- State average 0.74
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.18
- State average 1.14
- 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 1.6
- State average 7.06 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 3.2
- State average 7.01 (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
- State average 0.99
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 54
- State average 64
- National average 65
- 528 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 269
- State average 134
- National average 168
- 423 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 444
- State average 259
- National average 287
- 13 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 259
- State average 129
- National average 162
- 394 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 357
- State average 179
- National average 257
- 16 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 98
- State average 95
- National average 93
- 136 patients
- Period from 01/01/2024
Head CT results 82
- State average 67
- National average 69
- 28 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 92
- State average 70
- National average 78
- 3,162 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 10
- State average 7.56 (computed here)
- National average 8.08 (computed here)
- 31,493 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 3
- State average 1.35 (computed here)
- National average 1.09 (computed here)
- 4,697 patients
- Period from 01/01/2024
Left before being seen 2
- State average 3
- National average 2
- 62,221 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 12
- State average 11
- National average 15
- 4,344 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 65
- State average 73
- National average 73
- 147 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 82
- State average 89
- National average 87
- 79 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 73
- State average 80
- National average 81
- 528 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 89
- State average 92
- National average 93
- 253 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 97
- State average 68.46 (computed here)
- National average 82.23 (computed here)
- 9,595 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Discharged on Antithrombotic Therapy — 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
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

Unplanned visits 10

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.5
- State average 14.23 (computed here)
- National average 14.4
- No different than the national rate
- 152 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.9
- State average 21.59 (computed here)
- National average 21.3
- No different than the national rate
- 832 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 22
- State average 13.01 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 131 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 22.2
- State average 20.12 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 595 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 21.2
- State average 13.53 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 851 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected20
- State average 17.35 (computed here)
- National average 17.3
- No different than the national rate
- 1,095 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected11.1
- State average 11.16 (computed here)
- National average 11
- No different than the national rate
- 93 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected21.2
- State average 20.11 (computed here)
- National average 20
- No different than the national rate
- 297 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.3
- State average 13.09 (computed here)
- National average 13
- No different than the national rate
- 124 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 1.01 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 312 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (4)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 1
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 1
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.