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Overview

Address
2001 MEDICAL PARKWAY, ANNAPOLIS, MD 21401
Phone
(443) 481-1000
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 7 of 7 measures reported
1
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
6
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 11 of 11 measures reported
2
7
2
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) 371 discharges
1.0701 p86
Heart Failure 1,795 discharges
0.9571 p23
Pneumonia 1,253 discharges
1.0108 p59
COPD 541 discharges
1.0214 p69
Hip/Knee Replacement 250 discharges
1.1052 p77
CABG Surgery
0.9525 p31
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: 1.1052
Value-Based Purchasing
HAC Reduction
No Reduction
HAC Score: -0.0053

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 3.90 No Different Than the National Rate 248
Hybrid_HWM 3.70 No Different Than the National Rate 4,605
MORT_30_AMI 11.10 No Different Than the National Rate 410
MORT_30_CABG 3.60 No Different Than the National Rate 73
MORT_30_COPD 10.80 Worse Than the National Rate 490
MORT_30_HF 10.00 No Different Than the National Rate 1,467
MORT_30_PN 16.80 No Different Than the National Rate 1,156
MORT_30_STK 12.00 No Different Than the National Rate 697
PSI_03 0.30 No Different Than the National Rate 12,141
PSI_04 181.54 No Different Than the National Rate 173
PSI_06 0.26 No Different Than the National Rate 16,717
PSI_08 0.22 No Different Than the National Rate 17,179
PSI_09 3.98 Worse Than the National Rate 3,485
PSI_10 1.16 No Different Than the National Rate 1,658
PSI_11 7.43 No Different Than the National Rate 1,562
PSI_12 3.27 No Different Than the National Rate 3,647
PSI_13 4.00 No Different Than the National Rate 1,561
PSI_14 3.34 Worse Than the National Rate 839
PSI_15 1.22 No Different Than the National Rate 2,970
PSI_90 0.82 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 76%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 5%
H_COMP_1_U_P: Nurses "usually" communicated well 19%
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 3%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 14%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 73%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 5%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 22%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 72%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 6%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 22%
H_COMP_2_A_P: Doctors "always" communicated well 76%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5%
H_COMP_2_U_P: Doctors "usually" communicated well 19%
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 84%
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 13%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 74%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 6%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 20%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 69%
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 24%
H_COMP_5_A_P: Staff "always" explained 58%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 23%
H_COMP_5_U_P: Staff "usually" explained 19%
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 73%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 11%
H_MED_FOR_U_P: Staff "usually" explained new medications 16%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 43%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 35%
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 15%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 85%
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 16%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 84%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 15%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 85%
H_CLEAN_HSP_A_P: Room was "always" clean 68%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 10%
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 58%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 10%
H_QUIET_HSP_U_P: "Usually" quiet at night 32%
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) 8%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 26%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 66%
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) 4%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 71%
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 0.119 Better than the National Benchmark
HAI_1_CIUPPER 0.900 Better than the National Benchmark
HAI_1_DOPC 10326.000 Better than the National Benchmark
HAI_1_ELIGCASES 10.723 Better than the National Benchmark
HAI_1_NUMERATOR 4.000 Better than the National Benchmark
HAI_1_SIR 0.373 Better than the National Benchmark
HAI_2_CILOWER 0.213 No Different than National Benchmark
HAI_2_CIUPPER 1.093 No Different than National Benchmark
HAI_2_DOPC 9015.000 No Different than National Benchmark
HAI_2_ELIGCASES 11.421 No Different than National Benchmark
HAI_2_NUMERATOR 6.000 No Different than National Benchmark
HAI_2_SIR 0.525 No Different than National Benchmark
HAI_3_CILOWER 1.482 Worse than the National Benchmark
HAI_3_CIUPPER 3.370 Worse than the National Benchmark
HAI_3_DOPC 398.000 Worse than the National Benchmark
HAI_3_ELIGCASES 10.079 Worse than the National Benchmark
HAI_3_NUMERATOR 23.000 Worse than the National Benchmark
HAI_3_SIR 2.282 Worse than the National Benchmark
HAI_4_CILOWER 0.029 No Different than National Benchmark
HAI_4_CIUPPER 2.833 No Different than National Benchmark
HAI_4_DOPC 214.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.741 No Different than National Benchmark
HAI_4_NUMERATOR 1.000 No Different than National Benchmark
HAI_4_SIR 0.574 No Different than National Benchmark
HAI_5_CILOWER 0.202 No Different than National Benchmark
HAI_5_CIUPPER 1.220 No Different than National Benchmark
HAI_5_DOPC 140974.000 No Different than National Benchmark
HAI_5_ELIGCASES 9.082 No Different than National Benchmark
HAI_5_NUMERATOR 5.000 No Different than National Benchmark
HAI_5_SIR 0.551 No Different than National Benchmark
HAI_6_CILOWER 0.527 Better than the National Benchmark
HAI_6_CIUPPER 0.825 Better than the National Benchmark
HAI_6_DOPC 126160.000 Better than the National Benchmark
HAI_6_ELIGCASES 116.068 Better than the National Benchmark
HAI_6_NUMERATOR 77.000 Better than the National Benchmark
HAI_6_SIR 0.663 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 95.0 Healthcare Personnel Vaccination
OP_18a 255.0 Emergency Department
OP_18b 249.0 Emergency Department
OP_18c 478.0 Emergency Department
OP_18d 646.0 Emergency Department
OP_22 Emergency Department
OP_23 58.0 Emergency Department
OP_29 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 74.0 Sepsis Care
SEP_SH_3HR 88.0 Sepsis Care
SEP_SH_6HR 100.0 Sepsis Care
SEV_SEP_3HR 84.0 Sepsis Care
SEV_SEP_6HR 90.0 Sepsis Care
STK_02 98.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 92.0 Electronic Clinical Quality Measure
VTE_1 79.0 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 13.40 More Days Than Average per 100 Discharges
EDAC_30_HF 1.70 Average Days per 100 Discharges
EDAC_30_PN 12.30 More Days Than Average per 100 Discharges
Hybrid_HWR 14.80 No Different Than the National Rate
OP_32 14.40 No Different Than the National Rate
OP_35_ADM 12.30 No Different Than the National Rate
OP_35_ED 4.40 No Different Than the National Rate
OP_36 0.70 Better than expected
READM_30_AMI 14.40 No Different Than the National Rate
READM_30_CABG 10.10 No Different Than the National Rate
READM_30_COPD 18.60 No Different Than the National Rate
READM_30_HF 18.80 No Different Than the National Rate
READM_30_HIP_KNEE 5.30 No Different Than the National Rate
READM_30_PN 16.10 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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Show 86 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.63 metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.74 metrics.current_ratio
Cost Report Employees per Bed 6.16 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $659,818,000 metrics.fund_balance
Cost Report Net Income ($) $67,655,444 metrics.net_income
Cost Report Net Patient Revenue ($) $639,289,743 metrics.net_patient_revenue
Cost Report Operating Margin (%) 1.4% metrics.operating_margin
Cost Report Total Assets ($) $1,113,071,000 metrics.total_assets
Cost Report Total Costs ($) $468,899,812 metrics.total_costs
Cost Report Total Liabilities ($) $453,253,000 metrics.total_liabilities
Cost Report Total Margin (%) 9.6% metrics.total_margin
General Information Address 2001 MEDICAL PARKWAY Address
General Information City/Town ANNAPOLIS 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 11 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 10 Count of Facility TE Measures
General Information Count of MORT Measures Better 1 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 2 Count of READM Measures Better
General Information Count of READM Measures No Different 7 Count of READM Measures No Different
General Information Count of READM Measures Worse 2 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 6 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish ANNE ARUNDEL County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 210023 Facility ID
General Information Facility Name LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC 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 (443) 481-1000 Telephone Number
General Information ZIP Code 21401 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.62 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.59 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.61 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.32 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.37 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.01 total_hac_score
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.07 0.9995 p86 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.0% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 371 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 55 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 13.9% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.95 1.0000 p31 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 10.8% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 10.2% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.02 0.9969 p69 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.1% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 541 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 107 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 19.5% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.96 0.9983 p23 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 18.9% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 1,795 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 322 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 18.1% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.11 0.9916 p77 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.4% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Number of discharges 250 READM-30-HIP-KNEE-HRRP.num_discharges
Readmissions (HRRP) Hip/Knee Replacement — Number of readmissions 16 READM-30-HIP-KNEE-HRRP.num_readmissions
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 5.9% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.01 0.9955 p59 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.2% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 1,253 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 193 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.3% READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →