Hospital

JOHNS HOPKINS BAYVIEW MEDICAL CENTER

CCN: 210029 · BALTIMORE, MD 21224 · BALTIMORE CITY County

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

Overview

Address
4940 EASTERN AVENUE, BALTIMORE, MD 21224
Phone
(410) 550-0123
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
1
5
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
1
9
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 11 of 12 measures reported
11 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) 102 discharges
0.9758 p33
Heart Failure 568 discharges
0.9034 p6
Pneumonia 318 discharges
0.8647 p1
COPD 280 discharges
1.0156 p65
Hip/Knee Replacement
0.9087 p27
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: 1.0156
Value-Based Purchasing
—
HAC Reduction
No Reduction
HAC Score: 0.7914

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 3.20 No Different Than the National Rate 38
Hybrid_HWM 2.90 Better Than the National Rate 1,668
MORT_30_AMI 13.60 No Different Than the National Rate 121
MORT_30_CABG — — —
MORT_30_COPD 6.60 No Different Than the National Rate 234
MORT_30_HF 9.10 Better Than the National Rate 503
MORT_30_PN 14.30 No Different Than the National Rate 321
MORT_30_STK 14.90 No Different Than the National Rate 308
PSI_03 1.39 Worse Than the National Rate 9,078
PSI_04 184.64 No Different Than the National Rate 94
PSI_06 0.14 No Different Than the National Rate 9,594
PSI_08 0.26 No Different Than the National Rate 9,309
PSI_09 1.94 No Different Than the National Rate 1,712
PSI_10 1.41 No Different Than the National Rate 639
PSI_11 7.74 No Different Than the National Rate 658
PSI_12 4.28 No Different Than the National Rate 1,719
PSI_13 4.62 No Different Than the National Rate 560
PSI_14 1.51 No Different Than the National Rate 357
PSI_15 0.75 No Different Than the National Rate 1,296
PSI_90 1.14 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 6% —
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 — 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 5% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 13% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 72% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 6% —
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 8% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 20% —
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 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 6% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 16% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 73% —
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 21% —
H_COMP_5_A_P: Staff "always" explained 60% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 21% —
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 72% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 9% —
H_MED_FOR_U_P: Staff "usually" explained new medications 19% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 47% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 33% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 20% —
H_COMP_6_N_P: No, staff "did not" give patients this information 10% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 90% —
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 10% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 90% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 10% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 90% —
H_CLEAN_HSP_A_P: Room was "always" clean 69% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 10% —
H_CLEAN_HSP_U_P: Room was "usually" clean 21% —
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 18% —
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) 11% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 22% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 67% —
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) 7% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 66% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 27% —
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 0.312 No Different than National Benchmark
HAI_1_CIUPPER 1.094 No Different than National Benchmark
HAI_1_DOPC 13480.000 No Different than National Benchmark
HAI_1_ELIGCASES 16.289 No Different than National Benchmark
HAI_1_NUMERATOR 10.000 No Different than National Benchmark
HAI_1_SIR 0.614 No Different than National Benchmark
HAI_2_CILOWER 0.395 No Different than National Benchmark
HAI_2_CIUPPER 1.028 No Different than National Benchmark
HAI_2_DOPC 15327.000 No Different than National Benchmark
HAI_2_ELIGCASES 25.937 No Different than National Benchmark
HAI_2_NUMERATOR 17.000 No Different than National Benchmark
HAI_2_SIR 0.655 No Different than National Benchmark
HAI_3_CILOWER 0.330 No Different than National Benchmark
HAI_3_CIUPPER 2.507 No Different than National Benchmark
HAI_3_DOPC 141.000 No Different than National Benchmark
HAI_3_ELIGCASES 3.849 No Different than National Benchmark
HAI_3_NUMERATOR 4.000 No Different than National Benchmark
HAI_3_SIR 1.039 No Different than National Benchmark
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 32.000 —
HAI_4_ELIGCASES 0.253 —
HAI_4_NUMERATOR 1.000 —
HAI_4_SIR — —
HAI_5_CILOWER 0.462 No Different than National Benchmark
HAI_5_CIUPPER 1.621 No Different than National Benchmark
HAI_5_DOPC 109427.000 No Different than National Benchmark
HAI_5_ELIGCASES 10.999 No Different than National Benchmark
HAI_5_NUMERATOR 10.000 No Different than National Benchmark
HAI_5_SIR 0.909 No Different than National Benchmark
HAI_6_CILOWER 0.633 No Different than National Benchmark
HAI_6_CIUPPER 1.103 No Different than National Benchmark
HAI_6_DOPC 101492.000 No Different than National Benchmark
HAI_6_ELIGCASES 59.279 No Different than National Benchmark
HAI_6_NUMERATOR 50.000 No Different than National Benchmark
HAI_6_SIR 0.843 No Different than 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 97.0 Healthcare Personnel Vaccination
OP_18a 360.0 Emergency Department
OP_18b 332.0 Emergency Department
OP_18c 630.0 Emergency Department
OP_18d — Emergency Department
OP_22 3.0 Emergency Department
OP_23 — Emergency Department
OP_29 96.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 17.0 Electronic Clinical Quality Measure
SEP_1 70.0 Sepsis Care
SEP_SH_3HR 80.0 Sepsis Care
SEP_SH_6HR 89.0 Sepsis Care
SEV_SEP_3HR 85.0 Sepsis Care
SEV_SEP_6HR 97.0 Sepsis Care
STK_02 98.0 Electronic Clinical Quality Measure
STK_03 68.0 Electronic Clinical Quality Measure
STK_05 85.0 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 -15.00 Average Days per 100 Discharges
EDAC_30_HF 0.90 Average Days per 100 Discharges
EDAC_30_PN -33.00 Fewer Days Than Average per 100 Discharges
Hybrid_HWR 13.70 Better 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 5.00 No Different Than the National Rate
OP_36 0.80 No Different than expected
READM_30_AMI 13.30 No Different Than the National Rate
READM_30_CABG — —
READM_30_COPD 18.50 No Different Than the National Rate
READM_30_HF 17.70 No Different Than the National Rate
READM_30_HIP_KNEE 4.40 No Different Than the National Rate
READM_30_PN 13.80 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 0.73 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.52 — metrics.current_ratio
Cost Report Employees per Bed 6.87 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $130,377,000 — metrics.fund_balance
Cost Report Net Income ($) $11,801,000 — metrics.net_income
Cost Report Net Patient Revenue ($) $684,708,000 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -15.2% — metrics.operating_margin
Cost Report Total Assets ($) $459,270,000 — metrics.total_assets
Cost Report Total Costs ($) $601,112,042 — metrics.total_costs
Cost Report Total Liabilities ($) $328,893,000 — metrics.total_liabilities
Cost Report Total Margin (%) 1.5% — metrics.total_margin
General Information Address 4940 EASTERN AVENUE — Address
General Information City/Town BALTIMORE — 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 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 11 — 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 5 — 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 1 — 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 0 — 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 210029 — Facility ID
General Information Facility Name JOHNS HOPKINS BAYVIEW 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 (410) 550-0123 — Telephone Number
General Information ZIP Code 21224 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.55 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.88 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 1.04 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.81 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.08 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score 0.79 — total_hac_score
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.98 0.9995 p33 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 16.4% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 102 — 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 16.0% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.02 0.9969 p65 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 22.1% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 280 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 64 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 22.4% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.90 0.9983 p6 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 21.5% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 568 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 103 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 19.4% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.91 0.9916 p27 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 8.5% — READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 7.7% — READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.86 0.9955 p1 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.8% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 318 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 39 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.4% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →