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Overview

Address
5401 OLD COURT ROAD, RANDALLSTOWN, MD 21133
Phone
(410) 521-2200
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
2 /5
CMS Overall Rating
p7
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 7 of 8 measures reported
1
6
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 10 of 11 measures reported
9
1
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) 51 discharges
1.0422 p74
Heart Failure 529 discharges
1.0648 p84
Pneumonia 422 discharges
1.0152 p62
COPD 187 discharges
1.0075 p59
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: 1.0648
Value-Based Purchasing
HAC Reduction
No Reduction
HAC Score: -0.0055

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 4.10 No Different Than the National Rate 25
Hybrid_HWM 4.20 No Different Than the National Rate 1,199
MORT_30_AMI 11.80 No Different Than the National Rate 92
MORT_30_CABG
MORT_30_COPD 11.30 No Different Than the National Rate 175
MORT_30_HF 14.30 Worse Than the National Rate 447
MORT_30_PN 20.00 Worse Than the National Rate 428
MORT_30_STK 14.30 No Different Than the National Rate 202
PSI_03 1.47 Worse Than the National Rate 5,517
PSI_04 149.14 No Different Than the National Rate 38
PSI_06 0.17 No Different Than the National Rate 6,040
PSI_08 0.37 No Different Than the National Rate 6,172
PSI_09 2.02 No Different Than the National Rate 549
PSI_10 1.60 No Different Than the National Rate 180
PSI_11 11.61 No Different Than the National Rate 196
PSI_12 3.81 No Different Than the National Rate 577
PSI_13 4.96 No Different Than the National Rate 166
PSI_14 1.63 No Different Than the National Rate 178
PSI_15 0.83 No Different Than the National Rate 906
PSI_90 1.30 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 71%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 7%
H_COMP_1_U_P: Nurses "usually" communicated well 22%
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 78%
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 17%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 68%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 7%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 25%
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 9%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 22%
H_COMP_2_A_P: Doctors "always" communicated well 73%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 8%
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 2
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 77%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 6%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 17%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 72%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 9%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 19%
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 9%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 22%
H_COMP_5_A_P: Staff "always" explained 57%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 25%
H_COMP_5_U_P: Staff "usually" explained 18%
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 41%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 38%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 21%
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 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 16%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 84%
H_CLEAN_HSP_A_P: Room was "always" clean 60%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 14%
H_CLEAN_HSP_U_P: Room was "usually" clean 26%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 2
H_QUIET_HSP_A_P: "Always" quiet at night 55%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 10%
H_QUIET_HSP_U_P: "Usually" quiet at night 35%
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) 14%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 25%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 61%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 2
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 10%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 58%
H_RECMND_PY: "YES", patients would probably recommend the hospital 32%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 2
H_STAR_RATING: Summary star rating 2

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 0.091 No Different than National Benchmark
HAI_1_CIUPPER 1.797 No Different than National Benchmark
HAI_1_DOPC 4129.000 No Different than National Benchmark
HAI_1_ELIGCASES 3.678 No Different than National Benchmark
HAI_1_NUMERATOR 2.000 No Different than National Benchmark
HAI_1_SIR 0.544 No Different than National Benchmark
HAI_2_CILOWER 0.213 No Different than National Benchmark
HAI_2_CIUPPER 1.615 No Different than National Benchmark
HAI_2_DOPC 6042.000 No Different than National Benchmark
HAI_2_ELIGCASES 5.973 No Different than National Benchmark
HAI_2_NUMERATOR 4.000 No Different than National Benchmark
HAI_2_SIR 0.670 No Different than National Benchmark
HAI_3_CILOWER N/A No Different than National Benchmark
HAI_3_CIUPPER 1.295 No Different than National Benchmark
HAI_3_DOPC 90.000 No Different than National Benchmark
HAI_3_ELIGCASES 2.314 No Different than National Benchmark
HAI_3_NUMERATOR 0.000 No Different than National Benchmark
HAI_3_SIR 0.000 No Different than National Benchmark
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 89.000
HAI_4_ELIGCASES 0.751
HAI_4_NUMERATOR 0.000
HAI_4_SIR
HAI_5_CILOWER N/A Better than the National Benchmark
HAI_5_CIUPPER 0.825 Better than the National Benchmark
HAI_5_DOPC 56720.000 Better than the National Benchmark
HAI_5_ELIGCASES 3.629 Better than the National Benchmark
HAI_5_NUMERATOR 0.000 Better than the National Benchmark
HAI_5_SIR 0.000 Better than the National Benchmark
HAI_6_CILOWER 0.062 Better than the National Benchmark
HAI_6_CIUPPER 0.374 Better than the National Benchmark
HAI_6_DOPC 56720.000 Better than the National Benchmark
HAI_6_ELIGCASES 29.657 Better than the National Benchmark
HAI_6_NUMERATOR 5.000 Better than the National Benchmark
HAI_6_SIR 0.169 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 264.0 Emergency Department
OP_18b 256.0 Emergency Department
OP_18c 484.0 Emergency Department
OP_18d 515.0 Emergency Department
OP_22 2.0 Emergency Department
OP_23 64.0 Emergency Department
OP_29 84.0 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 65.0 Sepsis Care
SEP_SH_3HR 65.0 Sepsis Care
SEP_SH_6HR 78.0 Sepsis Care
SEV_SEP_3HR 87.0 Sepsis Care
SEV_SEP_6HR 93.0 Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 90.0 Electronic Clinical Quality Measure
VTE_1 97.0 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 51.40 More Days Than Average per 100 Discharges
EDAC_30_HF 27.40 More Days Than Average per 100 Discharges
EDAC_30_PN 35.60 More Days Than Average per 100 Discharges
Hybrid_HWR 14.60 No Different Than the National Rate
OP_32 13.10 No Different Than the National Rate
OP_35_ADM Number of Cases Too Small
OP_35_ED Number of Cases Too Small
OP_36 1.00 No Different than expected
READM_30_AMI 14.10 No Different Than the National Rate
READM_30_CABG
READM_30_COPD 18.30 No Different Than the National Rate
READM_30_HF 20.90 No Different Than the National Rate
READM_30_HIP_KNEE Number of Cases Too Small
READM_30_PN 16.20 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 0.71 metrics.cost_to_charge_ratio
Cost Report Current Ratio 2.01 metrics.current_ratio
Cost Report Employees per Bed 6.04 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $77,968,000 metrics.fund_balance
Cost Report Net Income ($) $-577,350 metrics.net_income
Cost Report Net Patient Revenue ($) $276,846,325 metrics.net_patient_revenue
Cost Report Operating Margin (%) -7.4% metrics.operating_margin
Cost Report Total Assets ($) $222,964,000 metrics.total_assets
Cost Report Total Costs ($) $220,884,312 metrics.total_costs
Cost Report Total Liabilities ($) $144,996,000 metrics.total_liabilities
Cost Report Total Margin (%) -0.2% metrics.total_margin
General Information Address 5401 OLD COURT ROAD Address
General Information City/Town RANDALLSTOWN 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 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 9 Count of READM Measures No Different
General Information Count of READM Measures Worse 1 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 6 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish BALTIMORE County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 210040 Facility ID
General Information Facility Name NORTHWEST HOSPITAL CENTER Facility Name
General Information Hospital overall rating 2 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 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) 521-2200 Telephone Number
General Information ZIP Code 21133 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.41 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.29 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.72 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.41 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.16 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 1.04 0.9995 p74 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 16.6% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 51 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 11 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 17.3% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.01 0.9969 p59 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.9% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 187 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 38 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 20.0% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.06 0.9983 p84 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.3% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 529 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 119 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 21.6% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.02 0.9955 p62 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.8% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 422 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 73 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 17.1% READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →