Baylor Scott & White Medical Center - Frisco

Hospital in Frisco, TX, Medicare certification number 450853. CMS publishes 41 quality measures for it.

Medicare certification

Provider of Services

CCN: 450853The 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: Oct 15, 2002
Last certification: Mar 24, 2015
Beds: 25
Overall star rating: 3 of 5Care Compare
Address: 5601 Warren Parkway
Frisco, TX 75034
(214) 618-2000

NPI records for this facility 1

Frisco Medical Center LLP
- General Acute Care Hospital
- Frisco, TX
- NPI 1922002674
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.71 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.67 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.07 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 2.96 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.28 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.32 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.82 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.69 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.27 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 13

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1
- State average 1.03 (computed here)
- National average 1.06
- No different than the national rate
- 164 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.11
- State average 0.97 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.8
- State average 3.89 (computed here)
- National average 3.9
- No different than the national rate
- 235 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.2
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 417 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.26
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 399 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected4.05
- State average 3.34 (computed here)
- National average 3.52
- No different than the national rate
- 348 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.61
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 305 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.82
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 335 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected11.68
- State average 10.06 (computed here)
- National average 9.42
- No different than the national rate
- 319 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected6.43
- State average 5.23 (computed here)
- National average 5.27
- No different than the national rate
- 270 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.75
- State average 1.77 (computed here)
- National average 1.77
- No different than the national rate
- 100 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.59
- State average 0.52 (computed here)
- National average 0.63
- No different than the national rate
- 128 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.2
- State average 4.14 (computed here)
- National average 4.1
- No different than the national rate
- 67 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (7)

Death rate among surgical inpatients with serious treatable complications — 1
Death rate for CABG surgery patients — 5
Death rate for COPD patients — 1
Death rate for heart attack patients — 5
Death rate for heart failure patients — 1
Death rate for pneumonia patients — 1
Death rate for stroke patients — 5

Infections 2

Medicare Care Compare

Clostridium Difficile (C.Diff) As expected0.32
- State average 0.24
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.5
- State average 0.73
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (4)

Catheter Associated Urinary Tract Infections (ICU + select Wards) — 13
Central Line Associated Bloodstream Infection (ICU + select Wards) — 13
MRSA Bacteremia — 13
SSI - Abdominal Hysterectomy — 13

Outpatient imaging 1

Medicare Care Compare

Abdomen CT Use of Contrast Material 3.9
- State average 7.72 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024

Measures CMS does not publish for this facility (1)

Breast Cancer Screening Recall Rates — 7

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.08
- State average 1.03
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 12

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 73
- State average 68
- National average 65
- 11 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 114
- State average 150
- National average 168
- 403 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 295
- State average 260
- National average 287
- 15 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 112
- State average 145
- National average 162
- 380 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 99
- State average 92
- National average 93
- 184 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 92
- State average 74
- National average 78
- 1,482 patients
- Period from 10/01/2024
Hospital Harm - Opioid Related Adverse Events 0
- State average 0.24 (computed here)
- National average 0.18 (computed here)
- 2,269 patients
- Period from 01/01/2024
Hospital Harm - Severe Hyperglycemia 2
- State average 6.38 (computed here)
- National average 8.08 (computed here)
- 484 patients
- Period from 01/01/2024
Left before being seen 0
- State average 1
- National average 2
- 11,665 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 3
- State average 14
- National average 15
- 1,424 patients
- Period from 01/01/2024
Severe Sepsis 3-Hour Bundle 92
- State average 83
- National average 81
- 12 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 99
- State average 78.56 (computed here)
- National average 82.23 (computed here)
- 422 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (18)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better — 1
Discharged on Antithrombotic Therapy — 5
Emergency department volume — low
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 - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
Septic Shock 3-Hour Bundle — 1, 3
Septic Shock 6-Hour Bundle — 1, 3
Severe Sepsis 6-Hour Bundle — 1, 3
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 3

Medicare Care Compare

Rate of readmission after hip/knee replacement As expected6.8
- State average 5.89 (computed here)
- National average 5.8
- No different than the national rate
- 63 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
- 815 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.2
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 496 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (11)

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate — 5
Heart failure (HF) 30-Day Readmission Rate — 1
Hospital return days for heart attack patients — 5
Hospital return days for heart failure patients — 1
Hospital return days for pneumonia patients — 1
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Pneumonia (PN) 30-Day Readmission Rate — 1
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 for CABG — 5
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients — 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.