Baylor Scott & White Medical Center - Buda

Hospital in Buda, TX, Medicare certification number 670131. CMS publishes 23 quality measures for it.

Medicare certification

Provider of Services

CCN: 670131The 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: Nov 20, 2019
Last certification: Apr 4, 2023
Beds: 15
Address: 5330 Overpass Road Suite 110
Buda, TX 78610
(737) 999-6200

NPI records for this facility 1

Baylor Scott & White Medical Centers - Capitol Area
- General Acute Care Hospital
- Buda, TX
- NPI 1144781501
Medicare enrollment

Patient survey (HCAHPS) 0

Medicare Care Compare

Measures CMS does not publish for this facility (9)

Cleanliness - star rating — 15
Communication about medicines - star rating — 15
Discharge information - star rating — 15
Doctor communication - star rating — 15
Nurse communication - star rating — 15
Overall hospital rating - star rating — 15
Quietness - star rating — 15
Recommend hospital - star rating — 15
Summary star rating — 15

Complications and deaths 8

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.05
- State average 1.03 (computed here)
- National average 1.06
- No different than the national rate
- 33 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.01
- 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
- 121 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.21
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 178 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.27
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 169 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.98
- State average 3.34 (computed here)
- National average 3.52
- No different than the national rate
- 37 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.32
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 34 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.6
- State average 0.52 (computed here)
- National average 0.63
- No different than the national rate
- 103 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (12)

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 — 1
Postoperative acute kidney injury requiring dialysis rate — 1
Postoperative respiratory failure rate — 1
Postoperative sepsis rate — 1
Postoperative wound dehiscence rate — 1
Rate of complications for hip/knee replacement patients — 1

Infections 0

Medicare Care Compare

Measures CMS does not publish for this facility (6)

Catheter Associated Urinary Tract Infections (ICU + select Wards) — 12
Central Line Associated Bloodstream Infection (ICU + select Wards) — 12
Clostridium Difficile (C.Diff) — 13
MRSA Bacteremia — 13
SSI - Abdominal Hysterectomy — 12
SSI - Colon Surgery — 13

Outpatient imaging 1

Medicare Care Compare

Abdomen CT Use of Contrast Material 5.9
- 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) 0.85
- State average 1.03
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 11

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 89
- State average 68
- National average 65
- 54 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 107
- State average 150
- National average 168
- 401 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 106
- State average 145
- National average 162
- 384 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 100
- State average 92
- National average 93
- 78 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 85
- State average 74
- National average 78
- 436 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 100
- State average 93.78 (computed here)
- National average 93.49 (computed here)
- 35 patients
- Period from 01/01/2024
Left before being seen 1
- State average 1
- National average 2
- 15,999 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 12
- State average 14
- National average 15
- 117 patients
- Period from 01/01/2024
Severe Sepsis 3-Hour Bundle 94
- State average 83
- National average 81
- 54 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 100
- State average 93
- National average 93
- 28 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 97
- State average 78.56 (computed here)
- National average 82.23 (computed here)
- 274 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (19)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
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 — 1
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 - 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
Septic Shock 3-Hour Bundle — 1, 2
Septic Shock 6-Hour Bundle — 1, 2, 3
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 2

Medicare Care Compare

Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.6
- State average 13.1 (computed here)
- National average 13
- No different than the national rate
- 84 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 33 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (12)

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 after hip/knee replacement — 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.