Hospital

MEDSTAR GOOD SAMARITAN HOSPITAL

CCN: 210056 · BALTIMORE, MD 21239 · BALTIMORE CITY County

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

Overview

Address
5601 LOCH RAVEN BOULEVARD, BALTIMORE, MD 21239
Phone
(443) 444-3902
Hospital Type
Acute Care
Ownership
Non-Profit (Other)
Emergency Services
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 6 of 8 measures reported
1
5
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 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)
1.0060 p54
Heart Failure 483 discharges
1.0167 p62
Pneumonia 288 discharges
0.9225 p9
COPD 206 discharges
1.0498 p85
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: 1.0498
Value-Based Purchasing
—
HAC Reduction
No Reduction
HAC Score: -0.2260

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 — — —
Hybrid_HWM 3.90 No Different Than the National Rate 1,147
MORT_30_AMI 12.10 No Different Than the National Rate 58
MORT_30_CABG — — —
MORT_30_COPD 6.10 No Different Than the National Rate 164
MORT_30_HF 7.20 Better Than the National Rate 393
MORT_30_PN 12.30 Better Than the National Rate 266
MORT_30_STK 13.30 No Different Than the National Rate 116
PSI_03 1.02 No Different Than the National Rate 5,980
PSI_04 159.85 No Different Than the National Rate 62
PSI_06 0.17 No Different Than the National Rate 7,513
PSI_08 0.28 No Different Than the National Rate 7,873
PSI_09 2.32 No Different Than the National Rate 728
PSI_10 1.32 No Different Than the National Rate 56
PSI_11 5.16 No Different Than the National Rate 85
PSI_12 3.56 No Different Than the National Rate 774
PSI_13 6.80 No Different Than the National Rate 34
PSI_14 1.63 No Different Than the National Rate 137
PSI_15 1.15 No Different Than the National Rate 951
PSI_90 1.04 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 70% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 11% —
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 74% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 8% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 18% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 69% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 11% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 20% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 66% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 13% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 21% —
H_COMP_2_A_P: Doctors "always" communicated well 76% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 7% —
H_COMP_2_U_P: Doctors "usually" communicated well 17% —
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 82% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 5% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 13% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 75% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 7% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 18% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 71% —
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 20% —
H_COMP_5_A_P: Staff "always" explained 53% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 27% —
H_COMP_5_U_P: Staff "usually" explained 20% —
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score — —
H_COMP_5_STAR_RATING: Communication about medicines - star rating — 1
H_MED_FOR_A_P: Staff "always" explained new medications 68% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 15% —
H_MED_FOR_U_P: Staff "usually" explained new medications 17% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 38% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 39% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 23% —
H_COMP_6_N_P: No, staff "did not" give patients this information 16% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 84% —
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 18% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 82% —
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 67% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 11% —
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 46% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 21% —
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) 15% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 23% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 62% —
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) 11% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 59% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 30% —
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 N/A Better than the National Benchmark
HAI_1_CIUPPER 0.799 Better than the National Benchmark
HAI_1_DOPC 4259.000 Better than the National Benchmark
HAI_1_ELIGCASES 3.748 Better than the National Benchmark
HAI_1_NUMERATOR 0.000 Better than the National Benchmark
HAI_1_SIR 0.000 Better than the National Benchmark
HAI_2_CILOWER 0.068 No Different than National Benchmark
HAI_2_CIUPPER 1.350 No Different than National Benchmark
HAI_2_DOPC 4834.000 No Different than National Benchmark
HAI_2_ELIGCASES 4.895 No Different than National Benchmark
HAI_2_NUMERATOR 2.000 No Different than National Benchmark
HAI_2_SIR 0.409 No Different than National Benchmark
HAI_3_CILOWER N/A No Different than National Benchmark
HAI_3_CIUPPER 2.088 No Different than National Benchmark
HAI_3_DOPC 49.000 No Different than National Benchmark
HAI_3_ELIGCASES 1.435 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 27.000 —
HAI_4_ELIGCASES 0.251 —
HAI_4_NUMERATOR 0.000 —
HAI_4_SIR — —
HAI_5_CILOWER N/A Better than the National Benchmark
HAI_5_CIUPPER 0.812 Better than the National Benchmark
HAI_5_DOPC 48925.000 Better than the National Benchmark
HAI_5_ELIGCASES 3.691 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 0.249 Better than the National Benchmark
HAI_6_CIUPPER 0.748 Better than the National Benchmark
HAI_6_DOPC 48925.000 Better than the National Benchmark
HAI_6_ELIGCASES 28.987 Better than the National Benchmark
HAI_6_NUMERATOR 13.000 Better than the National Benchmark
HAI_6_SIR 0.448 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 229.0 Emergency Department
OP_18b 224.0 Emergency Department
OP_18c 304.0 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 13.0 Electronic Clinical Quality Measure
SEP_1 57.0 Sepsis Care
SEP_SH_3HR 36.0 Sepsis Care
SEP_SH_6HR — Sepsis Care
SEV_SEP_3HR 88.0 Sepsis Care
SEV_SEP_6HR 77.0 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 8.30 Average Days per 100 Discharges
EDAC_30_PN -10.00 Average Days per 100 Discharges
Hybrid_HWR 14.90 No Different Than the National Rate
OP_32 13.50 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 13.70 No Different Than the National Rate
READM_30_CABG — —
READM_30_COPD 19.10 No Different Than the National Rate
READM_30_HF 20.00 No Different Than the National Rate
READM_30_HIP_KNEE — —
READM_30_PN 14.70 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 0.67 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 5.57 — 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 ($) $79,215,135 — metrics.fund_balance
Cost Report Net Income ($) $6,553,821 — metrics.net_income
Cost Report Net Patient Revenue ($) $269,353,748 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -6.1% — metrics.operating_margin
Cost Report Total Assets ($) $195,444,792 — metrics.total_assets
Cost Report Total Costs ($) $215,907,557 — metrics.total_costs
Cost Report Total Liabilities ($) $28,768,197 — metrics.total_liabilities
Cost Report Total Margin (%) 2.2% — metrics.total_margin
Cost Report Uncompensated Care (%) 4.5% — metrics.uncompensated_care_pct
General Information Address 5601 LOCH RAVEN BOULEVARD — 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 6 — 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 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 5 — 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 210056 — Facility ID
General Information Facility Name MEDSTAR GOOD SAMARITAN HOSPITAL — 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 - 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 (443) 444-3902 — Telephone Number
General Information ZIP Code 21239 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.54 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.57 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.12 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.74 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score -0.23 — total_hac_score
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.01 0.9995 p54 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 18.2% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 18.3% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.05 0.9969 p85 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 20.5% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 206 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 48 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 21.5% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.02 0.9983 p62 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 23.0% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 483 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 114 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 23.3% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.92 0.9955 p9 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.9% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 288 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 42 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 16.5% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →