Quality Report

Scott & White Memorial Hospital

DBA: Baylor Scott & White Medical Center - Temple
HCO ID: 9241
2401 S 31st St
Temple, TX, 76508-0001
(254) 724-6583
www.bswhealth.com

Summary of Quality Information

Accreditation Programs

View Accreditation History

	Home Care	Accreditation Decision Accredited	Effective Date 7/30/2021	Last Full Survey Date 7/29/2021	Last On-Site Survey Date 12/20/2021
	Hospital	Accreditation Decision Accredited	Effective Date 8/25/2023	Last Full Survey Date 7/30/2021	Last On-Site Survey Date 8/24/2023

Advanced Certification Programs

View Certification History

Advanced Comprehensive Stroke Center

Certification Decision

Certification

Effective Date

2/18/2023

Last Full Survey Date

2/17/2023

Last On-Site Survey Date

2/17/2023

Advanced Palliative Care

Certification Decision

Certification

Effective Date

11/16/2023

Last Full Survey Date

11/15/2023

Last On-Site Survey Date

11/15/2023

Ventricular Assist Device

Certification Decision

Certification

Effective Date

7/2/2022

Last Full Survey Date

7/1/2022

Last On-Site Survey Date

7/1/2022

Core Certification Programs

Chest Pain

Certification Decision

Certification

Effective Date

10/12/2023

Last Full Survey Date

10/11/2023

Last On-Site Survey Date

10/11/2023

Sites

Scott & White Memorial Hospital
DBA: Baylor Scott & White Clinic - Cameron
101 Lafferty Ave
Cameron, TX, 76520-3684

Available Services

Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Baylor Scott & White Clinic - Cameron Cardiology
Baylor Scott & White Clinic - Cameron Family Medicine
Baylor Scott & White Clinic - Cameron Pulmonary

Scott & White Memorial Hospital
DBA: Baylor Scott & White Clinic Killeen West
4501 Clear Creek Rd
Killeen, TX, 76549-4128

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
Behavioral Health (Non 24 Hour Care - Child/Youth )
Single Specialty Practitioner (Outpatient )

Scott & White Memorial Hospital
DBA: Baylor Scott & White Clinic - Belton
1505 N Main St
Belton, TX, 76513-1907

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
General Laboratory Tests
Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Baylor Scott & White Clinic - Belton Family Medicine
Baylor Scott & White Clinic - Belton Mental Health

Scott & White Memorial Hospital
DBA: Baylor Scott & White Clinic - Waco
7700 Fish Pond Rd
Waco, TX, 76710-1031

Available Services

Administration of High Risk Medications (Outpatient )
Anesthesia (Outpatient )
Behavioral Health (Non 24 Hour Care - Adult )
Behavioral Health (Non 24 Hour Care - Child/Youth )
General Laboratory Tests
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

Baylor Scott & White Clinic - Waco Anticoagulation Clinic
Baylor Scott & White Clinic - Waco Dermatology
Baylor Scott & White Clinic - Waco Endocrinology
Baylor Scott & White Clinic - Waco Family Medicine
Baylor Scott & White Clinic - Waco Gastroenterology
Baylor Scott & White Clinic - Waco GI Procedure Suite
Baylor Scott & White Clinic - Waco Mental Health
Baylor Scott & White Clinic - Waco Ophthalmology
Baylor Scott & White Clinic - Waco Podiatry

Scott & White Memorial Hospital
DBA: Baylor Scott & White OB/GYN Clinic - Waco
120 Hillcrest Medical Blvd, Ste 201-2
Woodway, TX, 76712-8948

Available Services

Single Specialty Practitioner (Outpatient )

Scott & White Memorial Hospital
DBA: Baylor Scott & White Clinic - Hewitt
510 N Hewitt Dr
Hewitt, TX, 76643-3038

Available Services

General Laboratory Tests
Single Specialty Practitioner (Outpatient )

Scott & White Memorial Hospital
DBA: Baylor Scott & White McLane Children's Clinic - Belton
1009 Arbor Park Dr
Belton, TX, 76513-8196

Available Services

Single Specialty Practitioner (Outpatient )

Scott & White Memorial Hospital
DBA: Baylor Scott & White Clinic - Killeen
3801 Scott and White Dr
Killeen, TX, 76543-5252

Available Services

Administration of High Risk Medications (Outpatient )
Behavioral Health (Non 24 Hour Care - Adult )
General Laboratory Tests
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

Baylor Scott & White Clinic - Killeen Endocrinology
Baylor Scott & White Clinic - Killeen Family Medicine
Baylor Scott & White Clinic - Killeen Mental Health
Baylor Scott & White Clinic - Killeen Nephrology
Baylor Scott & White Clinic - Killeen Pediatric Cardiology
Baylor Scott & White Clinic - Killeen Pediatric Convenient C
Baylor Scott & White Clinic - Killeen Pediatric Endocrinolog
Baylor Scott & White Clinic - Killeen Pediatric GI
Baylor Scott & White Clinic - Killeen Pediatric Neurology
Baylor Scott & White Clinic - Killeen Pediatric Pulmonology
Baylor Scott & White Clinic - Killeen Pediatrics

Scott & White Memorial Hospital
DBA: Baylor Scott & White McLane Children's Clinic - Temple West
6684 W Adams Ave
Temple, TX, 76502-5632

Available Services

Single Specialty Practitioner (Outpatient )

Scott & White Memorial Hospital
DBA: Baylor Scott & White Clinic - Salado
3525 FM 2484
Salado, TX, 76571-6169

Available Services

Single Specialty Practitioner (Outpatient )

Other Clinics/Practices Located at This Site:

Baylor Scott & White Clinic - Salado Family Medicine

Scott & White Memorial Hospital
DBA: Baylor Scott & White Hospice - Temple
5701 Airport Rd, Pod M195
Temple, TX, 76502-7092

Available Services

Hospice Care

Scott & White Memorial Hospital
DBA: Baylor Scott & White Medical Center - Temple
2401 S 31st St
Temple, TX, 76508-0001

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
Behavioral Health (Non 24 Hour Care - Child/Youth )
Brachytherapy (Imaging/Diagnostic Services )
Cardiac Catheterization Lab (Surgical Services )
Cardiac Surgery (Surgical Services )
Cardiothoracic Surgery (Surgical Services )
Cardiovascular Unit (Inpatient )
CT Scanner (Imaging/Diagnostic Services )
Dialysis Unit (Inpatient )
Ear/Nose/Throat Surgery (Surgical Services )
EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
Gastroenterology (Surgical Services )
General Laboratory Tests
GI or Endoscopy Lab (Imaging/Diagnostic Services )
Gynecological Surgery (Surgical Services )
Gynecology (Inpatient )
Hazardous Medication Compounding (Inpatient )
Hematology/Oncology Unit (Inpatient )
Inpatient Unit (Inpatient )
Interventional Radiology (Imaging/Diagnostic Services )
Labor & Delivery (Inpatient )
Magnetic Resonance Imaging (Imaging/Diagnostic Services )
Medical /Surgical Unit (Inpatient )
Medical ICU (Intensive Care Unit )
Neuro/Spine ICU (Intensive Care Unit )
Neuro/Spine Unit (Inpatient )
Neurosurgery (Surgical Services )
Non-Sterile Medication Compounding (Inpatient )
Nuclear Medicine (Imaging/Diagnostic Services )
Ophthalmology (Surgical Services )
Orthopedic Surgery (Surgical Services )
Orthopedic/Spine Unit (Inpatient )
Outpatient Clinics (Outpatient )
Plastic Surgery (Surgical Services )
Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
Post Anesthesia Care Unit (PACU) (Inpatient )
Radiation Oncology (Imaging/Diagnostic Services )
Sleep Laboratory (Sleep Laboratory )
Sterile Medication Compounding (Inpatient )
Surgical ICU (Intensive Care Unit )
Surgical Unit (Inpatient )
Teleradiology (Imaging/Diagnostic Services )
Thoracic Surgery (Surgical Services )
Transplant Surgery (Surgical Services )
Ultrasound (Imaging/Diagnostic Services )
Urology (Surgical Services )
Vascular Surgery (Surgical Services )

Certification Programs

Advanced Comprehensive Stroke Center
Advanced Palliative Care
Chest Pain
Ventricular Assist Device

Other Clinics/Practices Located at This Site:

Baylor Scott & White Dermatology & Cosmetic Surgery Center
Baylor Scott & White Mental Health Clinic - Temple
Baylor Scott & White Roney Bone and Joint Institute
Baylor Scott & White Temple Clinic
Baylor Scott & White Temple Sleep Institute

Scott & White Memorial Hospital
DBA: Baylor Scott & White Clinic - Belton South
1001 Arbor Park Dr
Belton, TX, 76513-8196

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Baylor Scott & White Clinic - Belton South Family Medicine
Baylor Scott & White Clinic - Belton South Mental Health

Scott & White Memorial Hospital
DBA: Baylor Scott & White Clinic - Temple Westfield
7556 Honeysuckle
Temple, TX, 76502-5631

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Baylor Scott & White Clinic - Temple Westfield Family Medici
Baylor Scott & White Clinic - Temple Westfield Mental Health

Scott & White Memorial Hospital
DBA: Baylor Scott & White Pavilion - Temple
1815 S 31st St
Temple, TX, 76504-6728

Available Services

Administration of High Risk Medications (Outpatient )
Anesthesia (Outpatient )
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

Baylor Scott & White Pavilion - Temple Ophthalmology
Baylor Scott & White Pavilion - Temple Optometry
Baylor Scott & White Pavilion - Temple OR/ Periop
Baylor Scott & White Pavilion - Temple Pain

Scott & White Memorial Hospital
DBA: BSW McLane Children's Specialty Clinic - Waco
120 Hillcrest Medical Blvd, Ste 101
Woodway, TX, 76712-8949

Available Services

Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

BSW McLane Children's Specialty Clinic - Waco Cardiology
BSW McLane Children's Specialty Clinic - Waco Endocrinology
BSW McLane Children's Specialty Clinic - Waco GI
BSW McLane Children's Specialty Clinic - Waco Hem Onc
BSW McLane Children's Specialty Clinic - Waco Nephrology
BSW McLane Children's Specialty Clinic - Waco Neurology
BSW McLane Children's Specialty Clinic - Waco Podiatry
BSW McLane Children's Specialty Clinic - Waco Pulmonology
BSW McLane Children's Specialty Clinic - Waco Surgery
BSW McLane Children's Specialty Clinic - Waco Urology

Scott & White Memorial Hospital
DBA: Scott & White Home Infusion
5701 Airport Rd, Pod M164
Temple, TX, 76502-7092

Available Services

Durable Medical Equipment
Enteral Equipment and/or Supplies
Enteral Nutrients
External Infusion Pump Supplies
External Infusion Pumps
Infusion Pharmacy
Parenteral Equipment and/or Supplies
Parenteral Nutrients
Pharmacy, Clinical Consulting Services
Pharmacy/Dispensary,General Services
Specialty Pharmacy
Sterile Medication Compounding
Supplies

Scott & White Memorial Hospital
DBA: Baylor Scott & White Pulmonary and Sleep Medicine - Waco
120 Hillcrest Medical Blvd, 3rd Floor, Ste 305
Waco, TX, 76712-8951

Available Services

Outpatient Clinics (Outpatient )

Scott & White Memorial Hospital
DBA: Baylor Scott & White Cancer Center - Killeen
2207 Clear Creek Rd, STE 101
Killeen, TX, 76549-4344

Available Services

Administration of Blood Product (Outpatient )
Administration of High Risk Medications (Outpatient )
Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Killeen Cancer Center - Chemo Infusion
Killeen Cancer Center - Hematology/ Oncology
Killeen Cancer Center - Interventional Radiology
Killeen Cancer Center - Palliative Care
Killeen Cancer Center - Radiation Oncology

Scott & White Memorial Hospital
DBA: Baylor Scott & White Specialty Clinic - Killeen Hemingway
2405 Clear Creek Rd
Killeen, TX, 76549-5775

Available Services

Administration of High Risk Medications (Outpatient )
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

BSW Specialty Clinic - Killeen Hemingway Audiology
BSW Specialty Clinic - Killeen Hemingway Cardiology
BSW Specialty Clinic - Killeen Hemingway Gastroenterology
BSW Specialty Clinic - Killeen Hemingway General Pediatrics
BSW Specialty Clinic - Killeen Hemingway Neurology
BSW Specialty Clinic - Killeen Hemingway OB/Gyn
BSW Specialty Clinic - Killeen Hemingway Otolaryngology
BSW Specialty Clinic - Killeen Hemingway Pain Management
BSW Specialty Clinic - Killeen Hemingway Pediatric Specialty
BSW Specialty Clinic - Killeen Hemingway Podiatry
BSW Specialty Clinic - Killeen Hemingway Surgical Services

Scott & White Memorial Hospital
DBA: Baylor Scott & White Sleep Center - Waco
2324 Marketplace Dr STE 220
Waco, TX, 76711-2468

Available Services

Single Specialty Practitioner (Outpatient )

Scott & White Memorial Hospital
DBA: Baylor Scott & White Specialty Clinic - Harker Heights
907 Mountain Lion Cir
Harker Heights, TX, 76548-5713

Available Services

Administration of High Risk Medications (Outpatient )
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

BSWH Specialty Clinic - Harker Heights Cardiology
BSWH Specialty Clinic - Harker Heights Dermatology
BSWH Specialty Clinic - Harker Heights OB/Gyn

Scott & White Memorial Hospital
DBA: Baylor Scott & White Clinic - Temple Professional Plaza II
1713 SW H K Dodgen Loop Ste 200
Temple, TX, 76502-1836

Available Services

Single Specialty Practitioner (Outpatient )

Scott & White Memorial Hospital
DBA: Baylor Scott & White Clinic - Temple Professional Plaza II
1713 SW H K Dodgen Loop, Ste 100
Temple, TX, 76502-1836

Available Services

Administration of High Risk Medications (Outpatient )
Behavioral Health (Non 24 Hour Care - Adult )
Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

BSW Clinic - Temple Professional Plaza II Mental Health
BSW Clinic - Temple Professional Plaza II OB/Gyn

Scott & White Memorial Hospital
DBA: Baylor Scott & White Pain Clinic - Waco
50 Hillcrest Medical Blvd, Ste 201B
Woodway, TX, 76712-8954

Available Services

Administration of High Risk Medications (Outpatient )
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

Baylor Scott & White Neurology - Waco
Baylor Scott & White Neurosurgery - Waco
Baylor Scott & White PM&R - Waco

Scott & White Memorial Hospital
DBA: Baylor Scott & White McLane Children's Clinic - Waco
120 Hillcrest Medical Blvd, Ste 200
Waco, TX, 76712-8950

Available Services

Single Specialty Practitioner (Outpatient )

Scott & White Memorial Hospital
DBA: Baylor Scott & White McLane Children's Medical Center
1901 SW H K Dodgen Loop
Temple, TX, 76502-1814

Available Services

Behavioral Health (Non 24 Hour Care - Child/Youth )
CT Scanner (Imaging/Diagnostic Services )
Ear/Nose/Throat Surgery (Surgical Services )
EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
Gastroenterology (Surgical Services )
GI or Endoscopy Lab (Imaging/Diagnostic Services )
Gynecological Surgery (Surgical Services )
Hazardous Medication Compounding (Inpatient )
Inpatient Unit (Inpatient )
Interventional Radiology (Imaging/Diagnostic Services )
Magnetic Resonance Imaging (Imaging/Diagnostic Services )
Medical /Surgical Unit (Inpatient )
Medical ICU (Intensive Care Unit )
Neurosurgery (Surgical Services )
Non-Sterile Medication Compounding (Inpatient )
Nuclear Medicine (Imaging/Diagnostic Services )
Ophthalmology (Surgical Services )
Orthopedic Surgery (Surgical Services )
Outpatient Clinics (Outpatient )
Pediatric Unit (Inpatient )
Plastic Surgery (Surgical Services )
Post Anesthesia Care Unit (PACU) (Inpatient )
Sterile Medication Compounding (Inpatient )
Surgical ICU (Intensive Care Unit )
Thoracic Surgery (Surgical Services )
Ultrasound (Imaging/Diagnostic Services )
Urology (Surgical Services )
Vascular Surgery (Surgical Services )

Other Clinics/Practices Located at This Site:

BSW McLane Children's Specialty Clinic - Temple

Scott & White Memorial Hospital
DBA: Baylor Scott & White Clinic - Gatesville
319 Highway 36 BYP S, Ste 401
Gatesville, TX, 76528-2741

Available Services

General Laboratory Tests
Single Specialty Practitioner (Outpatient )

Scott & White Memorial Hospital
DBA: Baylor Scott & White Outpatient Rehabilitation - Temple West
6768 W Adams Ave, Ste 101
Temple, TX, 76502-5708

Available Services

Single Specialty Practitioner (Outpatient )

Scott & White Memorial Hospital
DBA: Baylor Scott & White Clinic - Temple South Loop
2601 Thornton Ln
Temple, TX, 76502-1808

Available Services

Administration of High Risk Medications (Outpatient )
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

Baylor Scott & White Clinic - Temple South Loop Nephrology
Baylor Scott & White Clinic - Temple South Loop Podiatry
Baylor Scott & White Clinic - Temple South Loop Wound Care

Scott & White Memorial Hospital
DBA: Baylor Scott & White Clinic - Temple Santa Fe
1402 W Avenue H
Temple, TX, 76504-5342

Available Services

Administration of High Risk Medications (Outpatient )
Behavioral Health (Non 24 Hour Care - Adult )
Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Baylor Scott & White Clinic - Temple Santa Fe Family Medicin
Baylor Scott & White Clinic - Temple Santa Fe Mental Health
Baylor Scott & White Clinic - Temple Santa Fe OB/Gyn

Scott & White Memorial Hospital
DBA: Baylor Scott & White Center for Diagnostic Medicine - Temple
1605 S 31st St
Temple, TX, 76508-0001

Available Services

Administration of High Risk Medications (Outpatient )
Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Baylor Scott & White Allergy - Temple CDM
Baylor Scott & White Endocrinology - Temple CDM
Baylor Scott & White Geriatric Medicine - Temple CDM
Baylor Scott & White Internal Medicine - Temple CDM
Baylor Scott & White Medical Infusion - Temple CDM
Baylor Scott & White Rheumatology - Temple CDM

Cooperative Agreements

Laboratory - Accredited by American Society for Histocompatibility and Immunogenetics (ASHI)

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

This organization achieved the best possible results
This organization's performance is better than the target range/value
This organization's performance is similar to the target range/value
This organization's performance is worse than the target range /value
This measure is not applicable for this organization
Not displayed

Measures Footnote Key

The measure or measure set was not reported.
The measure set does not have an overall result.
The number is not enough for comparison purposes.
The measure meets the Privacy Disclosure Threshold rule.
The organization scored above 90% but was below most other organizations.
The measure results are not statistically valid.
The measure results are based on a sample of patients.
The number of months with measure data is below the reporting requirement.
The measure results are temporarily suppressed pending resubmission of updated data.
Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
There were no eligible patients that met the denominator criteria.
The measure rate is within optimal range.

Symbol Key

This organization achieved the best possible results
This organization's performance is better than the target range/value
This organization's performance is similar to the target range/value
This organization's performance is worse than the target range/value
This measure is not applicable for this organization
Not displayed

Measures Footnote Key

The measure or measure set was not reported.
The measure set does not have an overall result.
The number is not enough for comparison purposes.
The measure meets the Privacy Disclosure Threshold rule.
The organization scored above 90% but was below most other organizations.
The measure results are not statistically valid.
The measure results are based on a sample of patients.
The number of months with measure data is below the reporting requirement.
The measure results are temporarily suppressed pending resubmission of updated data.
Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
There were no eligible patients that met the denominator criteria.
The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

** Indicates per 1000 hours of patient care.
*** The measure was not in effect for this quarter.
---- Null value or data not displayed.

Home Care	2021 National Patient Safety Goals	Nationwide Comparison:	Statewide Comparison:
Hospital	2023 National Patient Safety Goals	Nationwide Comparison:	Statewide Comparison:
	Reporting Period: January 2022 - December 2022 National Quality Improvement Goals:
	Perinatal Care	National Comparison: 2	Statewide Comparison: 2

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* State results are not calculated for the National Patient Safety Goals.