Hospital

HOLY CROSS HOSPITAL

CCN: 210004 · SILVER SPRING, MD 20910 · MONTGOMERY County

Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
1500 FOREST GLEN ROAD, SILVER SPRING, MD 20910
Phone
(301) 754-7000
Hospital Type
Acute Care
Ownership
Non-Profit (Church)
Emergency Services
No
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 6 of 7 measures reported
6
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 8 of 8 measures reported
2
5
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 7 of 11 measures reported
6
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 9 of 12 measures reported
9 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) 83 discharges
1.0566 p81
Heart Failure 329 discharges
0.9739 p32
Pneumonia 434 discharges
0.9858 p43
COPD 128 discharges
0.9531 p12
Hip/Knee Replacement
0.9160 p28
CABG Surgery
— Not reported
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: 1.0566
Value-Based Purchasing
—
HAC Reduction
No Reduction
HAC Score: 0.4640

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 3.00 No Different Than the National Rate 44
Hybrid_HWM 4.10 No Different Than the National Rate 1,543
MORT_30_AMI 12.40 No Different Than the National Rate 121
MORT_30_CABG — — —
MORT_30_COPD 9.20 No Different Than the National Rate 122
MORT_30_HF 12.50 No Different Than the National Rate 327
MORT_30_PN 15.60 No Different Than the National Rate 458
MORT_30_STK 10.70 No Different Than the National Rate 180
PSI_03 0.86 No Different Than the National Rate 5,788
PSI_04 168.64 No Different Than the National Rate 111
PSI_06 0.20 No Different Than the National Rate 6,462
PSI_08 0.27 No Different Than the National Rate 6,733
PSI_09 1.66 No Different Than the National Rate 1,381
PSI_10 1.82 No Different Than the National Rate 635
PSI_11 9.63 No Different Than the National Rate 628
PSI_12 3.21 No Different Than the National Rate 1,399
PSI_13 4.09 No Different Than the National Rate 601
PSI_14 1.88 No Different Than the National Rate 448
PSI_15 0.74 No Different Than the National Rate 1,281
PSI_90 1.00 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 70% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6% —
H_COMP_1_U_P: Nurses "usually" communicated well 24% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 77% —
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 19% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 67% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 7% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 26% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 65% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 8% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 27% —
H_COMP_2_A_P: Doctors "always" communicated well 74% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5% —
H_COMP_2_U_P: Doctors "usually" communicated well 21% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 2
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 82% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 4% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 14% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 72% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 5% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 23% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 70% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 6% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 24% —
H_COMP_5_A_P: Staff "always" explained 51% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 24% —
H_COMP_5_U_P: Staff "usually" explained 25% —
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 67% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 11% —
H_MED_FOR_U_P: Staff "usually" explained new medications 22% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 35% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 37% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 28% —
H_COMP_6_N_P: No, staff "did not" give patients this information 19% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 81% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 2
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 20% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 80% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 17% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 83% —
H_CLEAN_HSP_A_P: Room was "always" clean 65% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 13% —
H_CLEAN_HSP_U_P: Room was "usually" clean 22% —
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 56% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 9% —
H_QUIET_HSP_U_P: "Usually" quiet at night 35% —
H_QUIET_LINEAR_SCORE: Quietness - linear mean score — —
H_QUIET_STAR_RATING: Quietness - star rating — 3
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 11% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 27% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 62% —
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) 8% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 62% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 30% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 3
H_STAR_RATING: Summary star rating — 2

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 0.419 No Different than National Benchmark
HAI_1_CIUPPER 1.315 No Different than National Benchmark
HAI_1_DOPC 14325.000 No Different than National Benchmark
HAI_1_ELIGCASES 15.519 No Different than National Benchmark
HAI_1_NUMERATOR 12.000 No Different than National Benchmark
HAI_1_SIR 0.773 No Different than National Benchmark
HAI_2_CILOWER 0.551 No Different than National Benchmark
HAI_2_CIUPPER 1.436 No Different than National Benchmark
HAI_2_DOPC 13454.000 No Different than National Benchmark
HAI_2_ELIGCASES 18.573 No Different than National Benchmark
HAI_2_NUMERATOR 17.000 No Different than National Benchmark
HAI_2_SIR 0.915 No Different than National Benchmark
HAI_3_CILOWER 0.572 No Different than National Benchmark
HAI_3_CIUPPER 2.154 No Different than National Benchmark
HAI_3_DOPC 296.000 No Different than National Benchmark
HAI_3_ELIGCASES 7.668 No Different than National Benchmark
HAI_3_NUMERATOR 9.000 No Different than National Benchmark
HAI_3_SIR 1.174 No Different than National Benchmark
HAI_4_CILOWER 2.067 Worse than the National Benchmark
HAI_4_CIUPPER 5.550 Worse than the National Benchmark
HAI_4_DOPC 559.000 Worse than the National Benchmark
HAI_4_ELIGCASES 4.582 Worse than the National Benchmark
HAI_4_NUMERATOR 16.000 Worse than the National Benchmark
HAI_4_SIR 3.492 Worse than the National Benchmark
HAI_5_CILOWER 0.178 No Different than National Benchmark
HAI_5_CIUPPER 1.348 No Different than National Benchmark
HAI_5_DOPC 123255.000 No Different than National Benchmark
HAI_5_ELIGCASES 7.156 No Different than National Benchmark
HAI_5_NUMERATOR 4.000 No Different than National Benchmark
HAI_5_SIR 0.559 No Different than National Benchmark
HAI_6_CILOWER 0.359 Better than the National Benchmark
HAI_6_CIUPPER 0.765 Better than the National Benchmark
HAI_6_DOPC 106977.000 Better than the National Benchmark
HAI_6_ELIGCASES 50.632 Better than the National Benchmark
HAI_6_NUMERATOR 27.000 Better than the National Benchmark
HAI_6_SIR 0.533 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 very high 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 34.0 Healthcare Personnel Vaccination
OP_18a 324.0 Emergency Department
OP_18b 323.0 Emergency Department
OP_18c 350.0 Emergency Department
OP_18d — Emergency Department
OP_22 5.0 Emergency Department
OP_23 — Emergency Department
OP_29 92.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 7.0 Electronic Clinical Quality Measure
SEP_1 81.0 Sepsis Care
SEP_SH_3HR 100.0 Sepsis Care
SEP_SH_6HR 100.0 Sepsis Care
SEV_SEP_3HR 86.0 Sepsis Care
SEV_SEP_6HR 94.0 Sepsis Care
STK_02 98.0 Electronic Clinical Quality Measure
STK_03 75.0 Electronic Clinical Quality Measure
STK_05 95.0 Electronic Clinical Quality Measure
VTE_1 — Electronic Clinical Quality Measure
VTE_2 — Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 37.80 More Days Than Average per 100 Discharges
EDAC_30_HF 14.60 More Days Than Average per 100 Discharges
EDAC_30_PN 32.90 More Days Than Average per 100 Discharges
Hybrid_HWR 15.50 No Different Than the National Rate
OP_32 12.80 No Different Than the National Rate
OP_35_ADM — Number of Cases Too Small
OP_35_ED — Number of Cases Too Small
OP_36 1.00 No Different than expected
READM_30_AMI 14.30 No Different Than the National Rate
READM_30_CABG — —
READM_30_COPD 17.30 No Different Than the National Rate
READM_30_HF 19.10 No Different Than the National Rate
READM_30_HIP_KNEE 4.50 No Different Than the National Rate
READM_30_PN 15.70 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.

Download CSV

Show 82 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.71 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.33 — metrics.current_ratio
Cost Report Employees per Bed 6.32 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $109,977,000 — metrics.fund_balance
Cost Report Net Income ($) $55,436,297 — metrics.net_income
Cost Report Net Patient Revenue ($) $531,657,642 — metrics.net_patient_revenue
Cost Report Operating Margin (%) 4.8% — metrics.operating_margin
Cost Report Total Assets ($) $511,271,000 — metrics.total_assets
Cost Report Total Costs ($) $438,703,939 — metrics.total_costs
Cost Report Total Liabilities ($) $401,294,000 — metrics.total_liabilities
Cost Report Total Margin (%) 9.9% — metrics.total_margin
Cost Report Uncompensated Care (%) 0.0% — metrics.uncompensated_care_pct
General Information Address 1500 FOREST GLEN ROAD — Address
General Information City/Town SILVER SPRING — City/Town
General Information Count of Facility MORT Measures 6 — 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 7 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 8 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 9 — 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 6 — 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 6 — 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 2 — 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 MONTGOMERY — County/Parish
General Information Emergency Services No — Emergency Services
General Information Facility ID 210004 — Facility ID
General Information Facility Name HOLY CROSS HOSPITAL — 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 - Church — 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 (301) 754-7000 — Telephone Number
General Information ZIP Code 20910 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.85 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.50 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.84 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.33 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.83 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score 0.46 — total_hac_score
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.06 0.9995 p81 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.9% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 83 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 15 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 14.7% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.95 0.9969 p12 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 18.5% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 128 — 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 17.6% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.97 0.9983 p32 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.0% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 329 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 59 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 18.5% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.92 0.9916 p28 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 4.5% — READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 4.1% — READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.99 0.9955 p43 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.1% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 434 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 68 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.9% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →