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Overview

Address
201 EAST UNIVERSITY PARKWAY, BALTIMORE, MD 21218
Phone
(410) 554-2227
Hospital Type
Acute Care
Ownership
Non-Profit (Other)
Emergency Services
Yes
5 /5
CMS Overall Rating
p89
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 6 of 8 measures reported
2
4
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 8 of 12 measures reported
8 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) 377 discharges
0.8630 p1
Heart Failure 590 discharges
0.9190 p8
Pneumonia 196 discharges
0.9062 p5
COPD 168 discharges
1.0171 p66
Hip/Knee Replacement
0.8189 p9
CABG Surgery 154 discharges
0.8812 p9
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: 1.0171
Value-Based Purchasing
HAC Reduction
No Reduction
HAC Score: -0.5056

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 2.40 No Different Than the National Rate 241
Hybrid_HWM 3.70 No Different Than the National Rate 1,710
MORT_30_AMI 11.30 No Different Than the National Rate 218
MORT_30_CABG 2.00 No Different Than the National Rate 157
MORT_30_COPD 7.10 No Different Than the National Rate 143
MORT_30_HF 8.60 Better Than the National Rate 429
MORT_30_PN 12.90 No Different Than the National Rate 186
MORT_30_STK 13.70 No Different Than the National Rate 109
PSI_03 1.10 No Different Than the National Rate 5,513
PSI_04 167.71 No Different Than the National Rate 124
PSI_06 0.28 No Different Than the National Rate 7,549
PSI_08 0.24 No Different Than the National Rate 7,769
PSI_09 2.53 No Different Than the National Rate 2,335
PSI_10 1.34 No Different Than the National Rate 1,396
PSI_11 7.03 No Different Than the National Rate 1,510
PSI_12 2.94 No Different Than the National Rate 2,553
PSI_13 3.49 No Different Than the National Rate 1,381
PSI_14 1.70 No Different Than the National Rate 352
PSI_15 0.94 No Different Than the National Rate 988
PSI_90 0.98 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 74%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6%
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 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 82%
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 14%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 71%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 6%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 23%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 69%
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 23%
H_COMP_2_A_P: Doctors "always" communicated well 79%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 6%
H_COMP_2_U_P: Doctors "usually" communicated well 15%
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 85%
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 11%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 78%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 7%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 15%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 75%
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 18%
H_COMP_5_A_P: Staff "always" explained 55%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 24%
H_COMP_5_U_P: Staff "usually" explained 21%
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 41%
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 22%
H_COMP_6_N_P: No, staff "did not" give patients this information 14%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 86%
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 13%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 87%
H_CLEAN_HSP_A_P: Room was "always" clean 68%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 9%
H_CLEAN_HSP_U_P: Room was "usually" clean 23%
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 52%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 16%
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 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 10%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 24%
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) 6%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 68%
H_RECMND_PY: "YES", patients would probably recommend the hospital 26%
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 0.011 No Different than National Benchmark
HAI_1_CIUPPER 1.093 No Different than National Benchmark
HAI_1_DOPC 4398.000 No Different than National Benchmark
HAI_1_ELIGCASES 4.511 No Different than National Benchmark
HAI_1_NUMERATOR 1.000 No Different than National Benchmark
HAI_1_SIR 0.222 No Different than National Benchmark
HAI_2_CILOWER N/A Better than the National Benchmark
HAI_2_CIUPPER 0.530 Better than the National Benchmark
HAI_2_DOPC 4858.000 Better than the National Benchmark
HAI_2_ELIGCASES 5.654 Better than the National Benchmark
HAI_2_NUMERATOR 0.000 Better than the National Benchmark
HAI_2_SIR 0.000 Better than the National Benchmark
HAI_3_CILOWER
HAI_3_CIUPPER
HAI_3_DOPC 10.000
HAI_3_ELIGCASES 0.299
HAI_3_NUMERATOR 0.000
HAI_3_SIR
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 1.000
HAI_4_ELIGCASES 0.008
HAI_4_NUMERATOR 0.000
HAI_4_SIR
HAI_5_CILOWER 0.011 No Different than National Benchmark
HAI_5_CIUPPER 1.076 No Different than National Benchmark
HAI_5_DOPC 49485.000 No Different than National Benchmark
HAI_5_ELIGCASES 4.585 No Different than National Benchmark
HAI_5_NUMERATOR 1.000 No Different than National Benchmark
HAI_5_SIR 0.218 No Different than National Benchmark
HAI_6_CILOWER 0.147 Better than the National Benchmark
HAI_6_CIUPPER 0.553 Better than the National Benchmark
HAI_6_DOPC 49485.000 Better than the National Benchmark
HAI_6_ELIGCASES 29.851 Better than the National Benchmark
HAI_6_NUMERATOR 9.000 Better than the National Benchmark
HAI_6_SIR 0.301 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 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 96.0 Healthcare Personnel Vaccination
OP_18a 226.0 Emergency Department
OP_18b 217.0 Emergency Department
OP_18c 762.0 Emergency Department
OP_18d Emergency Department
OP_22 2.0 Emergency Department
OP_23 Emergency Department
OP_29 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 16.0 Electronic Clinical Quality Measure
SEP_1 55.0 Sepsis Care
SEP_SH_3HR 62.0 Sepsis Care
SEP_SH_6HR 92.0 Sepsis Care
SEV_SEP_3HR 81.0 Sepsis Care
SEV_SEP_6HR 80.0 Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 94.0 Electronic Clinical Quality Measure
VTE_1 97.0 Electronic Clinical Quality Measure
VTE_2 97.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI -22.80 Fewer Days Than Average per 100 Discharges
EDAC_30_HF -11.30 Fewer Days Than Average per 100 Discharges
EDAC_30_PN -20.80 Fewer Days Than Average per 100 Discharges
Hybrid_HWR 13.50 Better Than the National Rate
OP_32 Number of Cases Too Small
OP_35_ADM Number of Cases Too Small
OP_35_ED Number of Cases Too Small
OP_36 0.90 No Different than expected
READM_30_AMI 11.70 No Different Than the National Rate
READM_30_CABG 9.30 No Different Than the National Rate
READM_30_COPD 18.50 No Different Than the National Rate
READM_30_HF 18.00 No Different Than the National Rate
READM_30_HIP_KNEE 4.00 No Different Than the National Rate
READM_30_PN 14.50 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 0.64 metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.62 metrics.current_ratio
Cost Report Employees per Bed 8.65 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $202,939,959 metrics.fund_balance
Cost Report Net Income ($) $-3,083,562 metrics.net_income
Cost Report Net Patient Revenue ($) $422,965,084 metrics.net_patient_revenue
Cost Report Operating Margin (%) -7.5% metrics.operating_margin
Cost Report Total Assets ($) $256,409,902 metrics.total_assets
Cost Report Total Costs ($) $317,192,934 metrics.total_costs
Cost Report Total Liabilities ($) $53,469,943 metrics.total_liabilities
Cost Report Total Margin (%) -0.7% metrics.total_margin
Cost Report Uncompensated Care (%) 3.1% metrics.uncompensated_care_pct
General Information Address 201 EAST UNIVERSITY PARKWAY 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 8 Count of Facility READM Measures
General Information Count of Facility Safety Measures 6 Count of Facility Safety Measures
General Information Count of Facility TE Measures 8 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 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 2 Count of Safety Measures Better
General Information Count of Safety Measures No Different 4 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish BALTIMORE CITY County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 210024 Facility ID
General Information Facility Name MEDSTAR UNION MEMORIAL HOSPITAL Facility Name
General Information Hospital overall rating 5 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Other Hospital Ownership
General Information Hospital Type Acute Care Hospitals Hospital Type
General Information Meets criteria for birthing friendly designation 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) 554-2227 Telephone Number
General Information ZIP Code 21218 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.38 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.31 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.47 measures.mrsa.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.51 total_hac_score
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.86 0.9995 p1 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 16.8% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 377 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 47 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 14.5% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.88 1.0000 p9 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 10.5% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Number of discharges 154 READM-30-CABG-HRRP.num_discharges
Readmissions (HRRP) CABG Surgery — Number of readmissions 11 READM-30-CABG-HRRP.num_readmissions
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 9.2% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.02 0.9969 p66 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 23.2% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 168 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 41 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 23.6% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.92 0.9983 p8 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 22.4% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 590 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 115 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 20.6% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.82 0.9916 p9 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.1% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 4.2% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.91 0.9955 p5 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.3% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 196 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 24 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.6% READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →