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Overview

Address
22 SOUTH GREENE STREET, BALTIMORE, MD 21201
Phone
(410) 328-8667
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
2 /5
CMS Overall Rating
p7
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 7 of 7 measures reported
7
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 7 of 8 measures reported
1
5
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 10 of 11 measures reported
9
1
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 10 of 12 measures reported
10 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack) 210 discharges
1.0251 p65
Heart Failure 282 discharges
0.9253 p10
Pneumonia 122 discharges
0.9453 p17
COPD 89 discharges
1.0013 p53
Hip/Knee Replacement
— Not reported
CABG Surgery 273 discharges
0.9373 p24
Expected (1.0) National median

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.0251
Value-Based Purchasing
HAC Reduction
No Reduction
HAC Score: 0.7646

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE Number of Cases Too Small
Hybrid_HWM 3.50 Better Than the National Rate 1,971
MORT_30_AMI 13.20 No Different Than the National Rate 86
MORT_30_CABG 1.90 No Different Than the National Rate 279
MORT_30_COPD 8.00 No Different Than the National Rate 82
MORT_30_HF 12.30 No Different Than the National Rate 226
MORT_30_PN 13.40 No Different Than the National Rate 115
MORT_30_STK 14.90 No Different Than the National Rate 442
PSI_03 0.43 No Different Than the National Rate 9,810
PSI_04 180.76 No Different Than the National Rate 504
PSI_06 0.23 No Different Than the National Rate 10,607
PSI_08 0.21 No Different Than the National Rate 11,275
PSI_09 1.72 No Different Than the National Rate 4,283
PSI_10 1.50 No Different Than the National Rate 3,028
PSI_11 13.31 Worse Than the National Rate 3,373
PSI_12 3.38 No Different Than the National Rate 5,119
PSI_13 5.87 No Different Than the National Rate 3,266
PSI_14 2.08 No Different Than the National Rate 1,178
PSI_15 0.76 No Different Than the National Rate 2,831
PSI_90 1.03 No Different Than the National Value

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 75%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 5%
H_COMP_1_U_P: Nurses "usually" communicated well 20%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 3
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 83%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 4%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 13%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 73%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 6%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 21%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 71%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 7%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 22%
H_COMP_2_A_P: Doctors "always" communicated well 79%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5%
H_COMP_2_U_P: Doctors "usually" communicated well 16%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 3
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 86%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 3%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 11%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 79%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 5%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 16%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 74%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 7%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 19%
H_COMP_5_A_P: Staff "always" explained 56%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 24%
H_COMP_5_U_P: Staff "usually" explained 20%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 2
H_MED_FOR_A_P: Staff "always" explained new medications 70%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 11%
H_MED_FOR_U_P: Staff "usually" explained new medications 19%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 42%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 36%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 22%
H_COMP_6_N_P: No, staff "did not" give patients this information 12%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 88%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 4
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 12%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 88%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 12%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 88%
H_CLEAN_HSP_A_P: Room was "always" clean 63%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 12%
H_CLEAN_HSP_U_P: Room was "usually" clean 25%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 2
H_QUIET_HSP_A_P: "Always" quiet at night 53%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 14%
H_QUIET_HSP_U_P: "Usually" quiet at night 33%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 8%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 23%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 69%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 3
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 5%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 70%
H_RECMND_PY: "YES", patients would probably recommend the hospital 25%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 4
H_STAR_RATING: Summary star rating 3

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.749 No Different than National Benchmark
HAI_1_CIUPPER 1.337 No Different than National Benchmark
HAI_1_DOPC 37455.000 No Different than National Benchmark
HAI_1_ELIGCASES 45.504 No Different than National Benchmark
HAI_1_NUMERATOR 46.000 No Different than National Benchmark
HAI_1_SIR 1.011 No Different than National Benchmark
HAI_2_CILOWER 0.567 No Different than National Benchmark
HAI_2_CIUPPER 1.150 No Different than National Benchmark
HAI_2_DOPC 19980.000 No Different than National Benchmark
HAI_2_ELIGCASES 37.800 No Different than National Benchmark
HAI_2_NUMERATOR 31.000 No Different than National Benchmark
HAI_2_SIR 0.820 No Different than National Benchmark
HAI_3_CILOWER 1.213 Worse than the National Benchmark
HAI_3_CIUPPER 2.711 Worse than the National Benchmark
HAI_3_DOPC 408.000 Worse than the National Benchmark
HAI_3_ELIGCASES 12.972 Worse than the National Benchmark
HAI_3_NUMERATOR 24.000 Worse than the National Benchmark
HAI_3_SIR 1.850 Worse than the National Benchmark
HAI_4_CILOWER 0.044 No Different than National Benchmark
HAI_4_CIUPPER 4.292 No Different than National Benchmark
HAI_4_DOPC 120.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.149 No Different than National Benchmark
HAI_4_NUMERATOR 1.000 No Different than National Benchmark
HAI_4_SIR 0.870 No Different than National Benchmark
HAI_5_CILOWER 0.310 No Different than National Benchmark
HAI_5_CIUPPER 1.089 No Different than National Benchmark
HAI_5_DOPC 216638.000 No Different than National Benchmark
HAI_5_ELIGCASES 16.368 No Different than National Benchmark
HAI_5_NUMERATOR 10.000 No Different than National Benchmark
HAI_5_SIR 0.611 No Different than National Benchmark
HAI_6_CILOWER 0.277 Better than the National Benchmark
HAI_6_CIUPPER 0.525 Better than the National Benchmark
HAI_6_DOPC 197171.000 Better than the National Benchmark
HAI_6_ELIGCASES 98.417 Better than the National Benchmark
HAI_6_NUMERATOR 38.000 Better than the National Benchmark
HAI_6_SIR 0.386 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV Emergency Department
GMCS Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan Electronic Clinical Quality Measure
HH_HYPER Electronic Clinical Quality Measure
HH_HYPO Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 96.0 Healthcare Personnel Vaccination
OP_18a 317.0 Emergency Department
OP_18b 325.0 Emergency Department
OP_18c 253.0 Emergency Department
OP_18d Emergency Department
OP_22 Emergency Department
OP_23 Emergency Department
OP_29 95.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 20.0 Electronic Clinical Quality Measure
SEP_1 68.0 Sepsis Care
SEP_SH_3HR 93.0 Sepsis Care
SEP_SH_6HR 100.0 Sepsis Care
SEV_SEP_3HR 84.0 Sepsis Care
SEV_SEP_6HR 81.0 Sepsis Care
STK_02 98.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 93.0 Electronic Clinical Quality Measure
VTE_2 99.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 16.30 More Days Than Average per 100 Discharges
EDAC_30_HF -12.40 Average Days per 100 Discharges
EDAC_30_PN -9.90 Average Days per 100 Discharges
Hybrid_HWR 14.30 No Different Than the National Rate
OP_32 14.30 No Different Than the National Rate
OP_35_ADM 10.50 No Different Than the National Rate
OP_35_ED 4.40 No Different Than the National Rate
OP_36 1.10 No Different than expected
READM_30_AMI 13.80 No Different Than the National Rate
READM_30_CABG 9.90 No Different Than the National Rate
READM_30_COPD 18.20 No Different Than the National Rate
READM_30_HF 18.20 No Different Than the National Rate
READM_30_HIP_KNEE Number of Cases Too Small
READM_30_PN 15.10 No Different Than the National Rate

Financial Health (Cost Report — FY 2024)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.67 metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.35 metrics.current_ratio
Cost Report Employees per Bed 8.94 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $1,064,413,663 metrics.fund_balance
Cost Report Net Income ($) $70,167,866 metrics.net_income
Cost Report Net Patient Revenue ($) $1,117,148,024 metrics.net_patient_revenue
Cost Report Operating Margin (%) -9.6% metrics.operating_margin
Cost Report Total Assets ($) $2,027,046,664 metrics.total_assets
Cost Report Total Costs ($) $856,588,982 metrics.total_costs
Cost Report Total Liabilities ($) $962,633,001 metrics.total_liabilities
Cost Report Total Margin (%) 5.4% metrics.total_margin
General Information Address 22 SOUTH GREENE STREET Address
General Information City/Town BALTIMORE City/Town
General Information Count of Facility MORT Measures 7 Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 10 Count of Facility READM Measures
General Information Count of Facility Safety Measures 7 Count of Facility Safety Measures
General Information Count of Facility TE Measures 10 Count of Facility TE Measures
General Information Count of MORT Measures Better 0 Count of MORT Measures Better
General Information Count of MORT Measures No Different 7 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 Count of MORT Measures Worse
General Information Count of READM Measures Better 0 Count of READM Measures Better
General Information Count of READM Measures No Different 9 Count of READM Measures No Different
General Information Count of READM Measures Worse 1 Count of READM Measures Worse
General Information Count of Safety Measures Better 1 Count of Safety Measures Better
General Information Count of Safety Measures No Different 5 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 1 Count of Safety Measures Worse
General Information County/Parish BALTIMORE CITY County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 210002 Facility ID
General Information Facility Name UNIVERSITY OF MARYLAND MEDICAL CENTER Facility Name
General Information Hospital overall rating 2 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Private Hospital Ownership
General Information Hospital Type Acute Care Hospitals Hospital Type
General Information Meets criteria for birthing friendly designation Y Meets criteria for birthing friendly designation
General Information MORT Group Footnote MORT Group Footnote
General Information MORT Group Measure Count 7 MORT Group Measure Count
General Information Pt Exp Group Footnote Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 Pt Exp Group Measure Count
General Information READM Group Footnote READM Group Footnote
General Information READM Group Measure Count 11 READM Group Measure Count
General Information Safety Group Footnote Safety Group Footnote
General Information Safety Group Measure Count 8 Safety Group Measure Count
General Information State MD State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (410) 328-8667 Telephone Number
General Information ZIP Code 21201 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 1.02 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.43 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 1.05 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.72 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.93 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score 0.76 total_hac_score
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.03 0.9995 p65 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 15.7% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 210 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 35 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 16.0% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.94 1.0000 p24 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 11.2% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Number of discharges 273 READM-30-CABG-HRRP.num_discharges
Readmissions (HRRP) CABG Surgery — Number of readmissions 27 READM-30-CABG-HRRP.num_readmissions
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 10.5% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.00 0.9969 p53 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 21.2% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 89 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 19 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 21.2% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.93 0.9983 p10 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 22.1% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 282 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 52 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 20.5% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.95 0.9955 p17 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 19.0% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 122 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 18 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 17.9% READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →