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Overview

Address
3001 SOUTH HANOVER STREET, BALTIMORE, MD 21225
Phone
(410) 350-3201
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
No
Birthing Friendly
Yes
4 /5
CMS Overall Rating
p63
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 5 of 7 measures reported
5
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
1
4
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 6 of 11 measures reported
6
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)
1.0230 p64
Heart Failure 247 discharges
0.9434 p16
Pneumonia 256 discharges
0.9874 p44
COPD 181 discharges
0.9282 p4
Hip/Knee Replacement
— Not reported
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: 1.0230
Value-Based Purchasing
HAC Reduction
No Reduction
HAC Score: -0.3128

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 Number of Cases Too Small
Hybrid_HWM 3.30 Better Than the National Rate 805
MORT_30_AMI 11.50 No Different Than the National Rate 63
MORT_30_CABG
MORT_30_COPD 7.30 No Different Than the National Rate 169
MORT_30_HF 10.00 No Different Than the National Rate 217
MORT_30_PN 14.10 No Different Than the National Rate 232
MORT_30_STK 14.70 No Different Than the National Rate 89
PSI_03 0.25 No Different Than the National Rate 2,952
PSI_04 Number of Cases Too Small
PSI_06 0.19 No Different Than the National Rate 3,795
PSI_08 0.32 No Different Than the National Rate 3,882
PSI_09 2.54 No Different Than the National Rate 257
PSI_10 1.66 No Different Than the National Rate 39
PSI_11 8.79 No Different Than the National Rate 39
PSI_12 3.46 No Different Than the National Rate 292
PSI_13 5.08 No Different Than the National Rate 37
PSI_14 1.73 No Different Than the National Rate 74
PSI_15 0.99 No Different Than the National Rate 435
PSI_90 0.87 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 8%
H_COMP_1_U_P: Nurses "usually" communicated well 17%
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 83%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 6%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 11%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 70%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 10%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 20%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 71%
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 20%
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 86%
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 10%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 76%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 7%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 17%
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 6%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 19%
H_COMP_5_A_P: Staff "always" explained 58%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 25%
H_COMP_5_U_P: Staff "usually" explained 17%
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 69%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 16%
H_MED_FOR_U_P: Staff "usually" explained new medications 15%
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 34%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 19%
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 13%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 87%
H_CLEAN_HSP_A_P: Room was "always" clean 75%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 6%
H_CLEAN_HSP_U_P: Room was "usually" clean 19%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 4
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) 12%
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) 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) 9%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 64%
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 N/A No Different than National Benchmark
HAI_1_CIUPPER 1.351 No Different than National Benchmark
HAI_1_DOPC 2456.000 No Different than National Benchmark
HAI_1_ELIGCASES 2.218 No Different than National Benchmark
HAI_1_NUMERATOR 0.000 No Different than National Benchmark
HAI_1_SIR 0.000 No Different than National Benchmark
HAI_2_CILOWER N/A Better than the National Benchmark
HAI_2_CIUPPER 0.847 Better than the National Benchmark
HAI_2_DOPC 3504.000 Better than the National Benchmark
HAI_2_ELIGCASES 3.538 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 30.000
HAI_3_ELIGCASES 0.883
HAI_3_NUMERATOR 0.000
HAI_3_SIR
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 59.000
HAI_4_ELIGCASES 0.514
HAI_4_NUMERATOR 1.000
HAI_4_SIR
HAI_5_CILOWER 0.373 No Different than National Benchmark
HAI_5_CIUPPER 2.831 No Different than National Benchmark
HAI_5_DOPC 46761.000 No Different than National Benchmark
HAI_5_ELIGCASES 3.408 No Different than National Benchmark
HAI_5_NUMERATOR 4.000 No Different than National Benchmark
HAI_5_SIR 1.174 No Different than National Benchmark
HAI_6_CILOWER 0.002 Better than the National Benchmark
HAI_6_CIUPPER 0.202 Better than the National Benchmark
HAI_6_DOPC 43641.000 Better than the National Benchmark
HAI_6_ELIGCASES 24.359 Better than the National Benchmark
HAI_6_NUMERATOR 1.000 Better than the National Benchmark
HAI_6_SIR 0.041 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 95.0 Healthcare Personnel Vaccination
OP_18a 220.0 Emergency Department
OP_18b 216.0 Emergency Department
OP_18c 280.0 Emergency Department
OP_18d Emergency Department
OP_22 4.0 Emergency Department
OP_23 Emergency Department
OP_29 97.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 14.0 Electronic Clinical Quality Measure
SEP_1 57.0 Sepsis Care
SEP_SH_3HR 65.0 Sepsis Care
SEP_SH_6HR Sepsis Care
SEV_SEP_3HR 72.0 Sepsis Care
SEV_SEP_6HR 81.0 Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 98.0 Electronic Clinical Quality Measure
VTE_1 98.0 Electronic Clinical Quality Measure
VTE_2 100.0 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 -1.50 Average Days per 100 Discharges
EDAC_30_PN 7.10 Average Days per 100 Discharges
Hybrid_HWR 13.70 No Different Than the National Rate
OP_32 12.70 No Different Than the National Rate
OP_35_ADM Number of Cases Too Small
OP_35_ED Number of Cases Too Small
OP_36 1.10 No Different than expected
READM_30_AMI 13.90 No Different Than the National Rate
READM_30_CABG
READM_30_COPD 16.80 No Different Than the National Rate
READM_30_HF 18.70 No Different Than the National Rate
READM_30_HIP_KNEE Number of Cases Too Small
READM_30_PN 15.90 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 0.70 metrics.cost_to_charge_ratio
Cost Report Current Ratio 0.98 metrics.current_ratio
Cost Report Employees per Bed 8.10 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $54,053,827 metrics.fund_balance
Cost Report Net Income ($) $-3,751,323 metrics.net_income
Cost Report Net Patient Revenue ($) $189,926,055 metrics.net_patient_revenue
Cost Report Operating Margin (%) -12.6% metrics.operating_margin
Cost Report Total Assets ($) $94,784,757 metrics.total_assets
Cost Report Total Costs ($) $162,726,994 metrics.total_costs
Cost Report Total Liabilities ($) $40,730,930 metrics.total_liabilities
Cost Report Total Margin (%) -1.8% metrics.total_margin
Cost Report Uncompensated Care (%) 6.1% metrics.uncompensated_care_pct
General Information Address 3001 SOUTH HANOVER STREET Address
General Information City/Town BALTIMORE City/Town
General Information Count of Facility MORT Measures 5 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 6 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 10 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 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 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 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 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 No Emergency Services
General Information Facility ID 210034 Facility ID
General Information Facility Name MEDSTAR HARBOR HOSPITAL Facility Name
General Information Hospital overall rating 4 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) 350-3201 Telephone Number
General Information ZIP Code 21225 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.14 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.07 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 1.54 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.31 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.31 total_hac_score
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.02 0.9995 p64 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 15.4% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 15.7% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.93 0.9969 p4 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 20.0% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 181 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 28 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 18.6% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.94 0.9983 p16 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 21.2% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 247 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 20.0% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.99 0.9955 p44 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.4% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 256 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 43 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 17.1% READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →