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Overview

Address
18101 PRINCE PHILIP DRIVE, OLNEY, MD 20832
Phone
(301) 774-8771
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
3 /5
CMS Overall Rating
p30
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 5 of 8 measures reported
3
2
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 8 of 11 measures reported
8
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)
0.9686 p28
Heart Failure 266 discharges
0.9439 p17
Pneumonia 547 discharges
0.9433 p16
COPD 106 discharges
1.0035 p55
Hip/Knee Replacement
0.9879 p48
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: 1.0035
Value-Based Purchasing
HAC Reduction
No Reduction
HAC Score: -0.6614

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 3.80 No Different Than the National Rate 31
Hybrid_HWM 4.30 No Different Than the National Rate 1,434
MORT_30_AMI 11.80 No Different Than the National Rate 51
MORT_30_CABG
MORT_30_COPD 10.50 No Different Than the National Rate 100
MORT_30_HF 11.30 No Different Than the National Rate 234
MORT_30_PN 15.90 No Different Than the National Rate 514
MORT_30_STK 12.50 No Different Than the National Rate 145
PSI_03 0.86 No Different Than the National Rate 4,270
PSI_04 162.63 No Different Than the National Rate 47
PSI_06 0.17 No Different Than the National Rate 5,336
PSI_08 0.26 No Different Than the National Rate 5,282
PSI_09 2.64 No Different Than the National Rate 669
PSI_10 1.60 No Different Than the National Rate 227
PSI_11 6.77 No Different Than the National Rate 227
PSI_12 3.28 No Different Than the National Rate 718
PSI_13 5.56 No Different Than the National Rate 215
PSI_14 1.71 No Different Than the National Rate 182
PSI_15 0.93 No Different Than the National Rate 740
PSI_90 0.99 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 69%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 7%
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 79%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 5%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 16%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 65%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 7%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 28%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 64%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 9%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 27%
H_COMP_2_A_P: Doctors "always" communicated well 78%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 4%
H_COMP_2_U_P: Doctors "usually" communicated well 18%
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 2%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 12%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 76%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 5%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 19%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 72%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 5%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 23%
H_COMP_5_A_P: Staff "always" explained 52%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 26%
H_COMP_5_U_P: Staff "usually" explained 22%
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 68%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 12%
H_MED_FOR_U_P: Staff "usually" explained new medications 20%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 37%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 39%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 24%
H_COMP_6_N_P: No, staff "did not" give patients this information 16%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 84%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 3
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 15%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 85%
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 70%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 8%
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 3
H_QUIET_HSP_A_P: "Always" quiet at night 49%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 12%
H_QUIET_HSP_U_P: "Usually" quiet at night 39%
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) 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 63%
H_RECMND_PY: "YES", patients would probably recommend the hospital 29%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 3
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 0.118 No Different than National Benchmark
HAI_1_CIUPPER 2.318 No Different than National Benchmark
HAI_1_DOPC 3284.000 No Different than National Benchmark
HAI_1_ELIGCASES 2.851 No Different than National Benchmark
HAI_1_NUMERATOR 2.000 No Different than National Benchmark
HAI_1_SIR 0.702 No Different than National Benchmark
HAI_2_CILOWER 0.011 No Different than National Benchmark
HAI_2_CIUPPER 1.043 No Different than National Benchmark
HAI_2_DOPC 4736.000 No Different than National Benchmark
HAI_2_ELIGCASES 4.728 No Different than National Benchmark
HAI_2_NUMERATOR 1.000 No Different than National Benchmark
HAI_2_SIR 0.212 No Different than National Benchmark
HAI_3_CILOWER
HAI_3_CIUPPER
HAI_3_DOPC 33.000
HAI_3_ELIGCASES 0.783
HAI_3_NUMERATOR 1.000
HAI_3_SIR
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 36.000
HAI_4_ELIGCASES 0.297
HAI_4_NUMERATOR 0.000
HAI_4_SIR
HAI_5_CILOWER 0.039 No Different than National Benchmark
HAI_5_CIUPPER 3.826 No Different than National Benchmark
HAI_5_DOPC 25653.000 No Different than National Benchmark
HAI_5_ELIGCASES 1.289 No Different than National Benchmark
HAI_5_NUMERATOR 1.000 No Different than National Benchmark
HAI_5_SIR 0.776 No Different than National Benchmark
HAI_6_CILOWER 0.021 Better than the National Benchmark
HAI_6_CIUPPER 0.410 Better than the National Benchmark
HAI_6_DOPC 24187.000 Better than the National Benchmark
HAI_6_ELIGCASES 16.111 Better than the National Benchmark
HAI_6_NUMERATOR 2.000 Better than the National Benchmark
HAI_6_SIR 0.124 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 medium 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 258.0 Emergency Department
OP_18b 252.0 Emergency Department
OP_18c 398.0 Emergency Department
OP_18d Emergency Department
OP_22 1.0 Emergency Department
OP_23 55.0 Emergency Department
OP_29 95.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 13.0 Electronic Clinical Quality Measure
SEP_1 42.0 Sepsis Care
SEP_SH_3HR 61.0 Sepsis Care
SEP_SH_6HR 75.0 Sepsis Care
SEV_SEP_3HR 67.0 Sepsis Care
SEV_SEP_6HR 73.0 Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 91.0 Electronic Clinical Quality Measure
VTE_1 98.0 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 Number of Cases Too Small
EDAC_30_HF -8.70 Average Days per 100 Discharges
EDAC_30_PN 19.40 More Days Than Average per 100 Discharges
Hybrid_HWR 14.40 No Different Than the National Rate
OP_32 13.70 No Different Than the National Rate
OP_35_ADM 12.80 No Different Than the National Rate
OP_35_ED 6.10 No Different Than the National Rate
OP_36 1.10 No Different than expected
READM_30_AMI 13.20 No Different Than the National Rate
READM_30_CABG
READM_30_COPD 18.30 No Different Than the National Rate
READM_30_HF 18.50 No Different Than the National Rate
READM_30_HIP_KNEE 4.80 No Different Than the National Rate
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 0.78 metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.78 metrics.current_ratio
Cost Report Employees per Bed 7.12 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $91,865,379 metrics.fund_balance
Cost Report Net Income ($) $-12,889,388 metrics.net_income
Cost Report Net Patient Revenue ($) $184,074,560 metrics.net_patient_revenue
Cost Report Operating Margin (%) -10.5% metrics.operating_margin
Cost Report Total Assets ($) $109,723,934 metrics.total_assets
Cost Report Total Costs ($) $173,062,106 metrics.total_costs
Cost Report Total Liabilities ($) $17,858,555 metrics.total_liabilities
Cost Report Total Margin (%) -6.8% metrics.total_margin
Cost Report Uncompensated Care (%) 4.0% metrics.uncompensated_care_pct
General Information Address 18101 PRINCE PHILIP DRIVE Address
General Information City/Town OLNEY 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 8 Count of Facility READM Measures
General Information Count of Facility Safety Measures 5 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 8 Count of READM Measures No Different
General Information Count of READM Measures Worse 0 Count of READM Measures Worse
General Information Count of Safety Measures Better 3 Count of Safety Measures Better
General Information Count of Safety Measures No Different 2 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish MONTGOMERY County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 210018 Facility ID
General Information Facility Name MEDSTAR MONTGOMERY MEDICAL CENTER Facility Name
General Information Hospital overall rating 3 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 (301) 774-8771 Telephone Number
General Information ZIP Code 20832 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.10 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.14 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.35 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.72 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.66 total_hac_score
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.97 0.9995 p28 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 17.2% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 16.7% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.00 0.9969 p55 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.5% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 106 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 21 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 19.6% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.94 0.9983 p17 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.6% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 266 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 45 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 0.99 0.9916 p48 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 6.2% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 6.1% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.94 0.9955 p16 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.5% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 547 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 76 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 14.6% READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →