Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.
Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.
Baylor Scott and White…
WorseUS AvgBetter
Underlying measures:Abdominopelvic accidental puncture or laceration rateNo Different Than the National RateHospital score: 1.05 95% interval: 0.00 – 2.14 Sample size: 104Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15Iatrogenic pneumothorax rateNo Different Than the National RateHospital score: 0.20 95% interval: 0.00 – 0.44 Sample size: 1,330Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06Rate of complications for hip/knee replacement patientsNo Different Than the National RateHospital score: 3.50 95% interval: 2.60 – 4.80 Sample size: 1,001Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEEIn-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.24 95% interval: 0.04 – 0.45 Sample size: 1,286Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08Postoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 2.17 95% interval: 0.50 – 3.85 Sample size: 1,302Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Perioperative pulmonary embolism or deep vein thrombosis rateNo Different Than the National RateHospital score: 2.51 95% interval: 0.27 – 4.75 Sample size: 1,321Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateNo Different Than the National RateHospital score: 1.60 95% interval: 0.00 – 3.30 Sample size: 1,283Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Postoperative respiratory failure rateNo Different Than the National RateHospital score: 6.16 95% interval: 0.00 – 14.42 Sample size: 1,275Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Postoperative sepsis rateNo Different Than the National RateHospital score: 4.42 95% interval: 0.43 – 8.40 Sample size: 1,231Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13Pressure ulcer rateNo Different Than the National RateHospital score: 0.58 95% interval: 0.00 – 1.87 Sample size: 246Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_03CMS Medicare PSI 90: Patient safety and adverse events compositeNo Different Than the National ValueHospital score: 0.81 95% interval: 0.34 – 1.29 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90Postoperative wound dehiscence rateNo Different Than the National RateHospital score: 1.76 95% interval: 0.23 – 3.30 Sample size: 95Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14Clostridium Difficile (C.Diff)Not AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_6_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)Not AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)Not AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRMRSA BacteremiaNot AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRSSI - Abdominal HysterectomyNot AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIRSSI - Colon SurgeryNot AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_3_SIRDeath rate among surgical inpatients with serious treatable complicationsNot AvailableHospital score: — Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04
Readmissions
Same as National Average
Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.
Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.
Baylor Scott and White…
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Patient survey detail — the questions feeding the Patient Experience domain above
expand ↓
CMS computes the Patient Experience domain from the federal HCAHPS survey.
Each bar below is one survey question; the percentage is the share of
Baylor's recent patients who gave the most positive
response. HCAHPS percentages aren't directly comparable across all measures —
see the methodology page for how CMS weights them.
Communication with Nurses84%
Communication with Doctors85%
Hospital Cleanliness85%
Hospital Quietness68%
Staff ResponsivenessN/A
Discharge Information91%
Overall Hospital Rating (9 or 10)81%
Would Recommend Hospital82%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Better than National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
Baylor Scott and White…
WorseUS AvgBetter
Underlying measures: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 betterBetter than ~75% of hospitalsHospital score: 117.00 min National median: 148.00 min (lower is better)
Sample size: 261Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18bAverage (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 betterBetter than ~75% of hospitalsHospital score: 117.00 min National median: 154.00 min (lower is better)
Sample size: 271Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aLeft before being seenBetter than ~75% of hospitalsHospital score: 0.00 % National median: 1.00 % (lower is better)
Sample size: 889Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Hospital Harm - Severe HyperglycemiaBetter than ~75% of hospitalsHospital score: 4.00 % National median: 8.00 % (lower is better)
Sample size: 628Reporting period: 01/01/2024 – 12/31/2024CMS measure id: HH_HYPERHospital Harm - Severe HypoglycemiaBetter than ~75% of hospitalsHospital score: 0.00 % National median: 1.00 % (lower is better)
Sample size: 521Reporting period: 01/01/2024 – 12/31/2024CMS measure id: HH_HYPOHealthcare workers given influenza vaccinationBetter than ~75% of hospitalsHospital score: 96.00 % National median: 79.00 % (higher is better)
Sample size: 460Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3Venous Thromboembolism ProphylaxisBetter than ~75% of hospitalsHospital score: 98.00 % National median: 90.00 % (higher is better)
Sample size: 484Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_1Safe Use of Opioids - Concurrent PrescribingNear the national medianHospital score: 15.00 % National median: 15.00 % (lower is better)
Sample size: 729Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDS
Clinical Staff
Baylor Scott and White Orthopedic and Spine Hospi has 91 CMS-affiliated
clinicians on its roster — physicians, advanced practice providers, and other
Medicare-enrolled professionals who list this hospital as an affiliated facility.
Top specialties
Anesthesiology19
Orthopedic Surgery19
Physician Assistant15
Certified Registered Nurse Anesthetist (Crna)14
Internal Medicine7
Diagnostic Radiology4
Physical Medicine And Rehabilitation3
Hand Surgery3
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
89(98%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
8(9%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
67 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 28
(42%) score above the national median of 85.5.
MIPS scoring is heavily compressed at the top of the 0–100 range, so individual scores
are not a reliable consumer signal. We surface roster-level coverage and the share
above the national median instead.
Source: CMS Doctors and Clinicians (Care Compare) national downloadable file
and MIPS Performance Year final scores, as of 2026-05-27.
Affiliations from the CMS Facility Affiliations dataset. About 16% of small
facilities (critical access, rural emergency, freestanding psych, IRF/LTCH)
do not appear in the affiliations file and therefore have no panel.
Find a Doctor
Search the 91 clinicians affiliated with Baylor Scott and White Orthopedic and Spine Hospi.
Each name links to that clinician's official Medicare Care Compare profile, where you can see
their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.
No clinicians match that search. Try a broader term like "internal medicine" or just a last name.
Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-05-27.
A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS
profile, not that they exclusively work here.
Pricing & Costs
This hospital participates in price transparency under the federal
Hospital Price Transparency Rule. View 782 published procedures
— gross charges, cash prices, and per-payer negotiated rates where available.
Quality and ratings data are sourced from the U.S. Centers for
Medicare & Medicaid Services (CMS) Hospital Compare program.
Star ratings are CMS's own calculation; CareRanks does not modify
or re-weight them. Facility-level details (address, beds,
ownership, teaching status) come from CMS provider files and the
CMS Provider of Services file.
Pricing data, where shown, is drawn from the hospital's own
Machine-Readable File (MRF) published under the federal Hospital
Price Transparency Rule. See our methodology for the full update
cadence and limitations.