The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
University of Maryland Medical Center
Org ID: 6264
22 South Greene Street
Baltimore, MD  21201-1595
(410)328-6027
www.umm.edu


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Behavioral Health Care
Accredited 11/11/2011 11/10/2011   11/10/2011  
Hospital
Accredited 11/12/2011 11/11/2011   10/16/2013  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Hospital


Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Advanced Comprehensive Stroke Center
Certification 3/10/2014  1/31/2014  1/31/2014 
Ventricular Assist Device
Certification 8/16/2012  8/15/2012  8/15/2012 



Certification programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Ventricular Assist Device



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  Symbol Key
This organization achieved the best possible results
This organization’s performance is above the target range/value.
This organization’s performance is similar to the target range/value.
This organization’s performance is below the target range/value.
This measure is not applicable for this organization.
Not displayed
  Footnote Key
1. The measure or measure set was not reported.
2. The measure set does not have an overall result.
3. The number is not enough for comparison purposes.
4. The measure meets the Privacy Disclosure Threshold rule.
5. The organization scored above 90% but was below most other organizations.
6. The measure results are not statistically valid.
7. The measure results are based on a sample of patients.
8. The number of months with measure data is below the reporting requirement.
9. The measure results are temporarily suppressed pending resubmission of updated data.
10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
11. There were no eligible patients that met the denominator criteria.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Behavioral Health Care
2011 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
Hospital
2013 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
National Quality Improvement Goals:    
Reporting Period:
Jan  2013 -
Dec  2013
Heart Attack Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Heart Failure Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Hospital-Based Inpatient Psychiatric Services See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Pneumonia Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Blood Vessel Surgery
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Colon/Large Intestine Surgery
See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Coronary Artery Bypass Graft
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Hip Joint Replacement
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Hysterectomy
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Knee Replacement
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Open Heart Surgery
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
SCIP – Venous Thromboembolism (VTE) See Detail
   
 
National Quality Forum The Joint Commission only reports measures endorsed by the National Quality Forum.
 
* State results are not calculated for the National Patient Safety Goals.

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Sites and Services
* Primary Location

An organization may provide services not listed here. For more information refer to the Quality Report User Guide .

Locations of Care Available Services
110 Stricker Street - Intensive
110 Stricker Street
Baltimore, MD  21201
    Services:
    • Behavioral Health (Transitional Living - Adult)
      (Supervised - Adult)
    111 Stricker Street - General
    111 Stricker Street
    Baltimore, MD  21201
      Services:
      • Behavioral Health (Transitional Living - Adult)
        (Supervised - Adult)
      1216 W. Lombard
      1216 W. Lombard
      Baltimore, MD  21201
        Services:
        • Behavioral Health (Transitional Living - Adult)
          (Supervised - Adult)
        1319 W. Lombard Street - Intensive Residential
        1319 W. Lombard Street
        Baltimore, MD  21223
          Services:
          • Behavioral Health (Transitional Living - Child/Youth)
            (Supervised - Child/Youth)
          1322 W. Hollins Street - Intensive
          1322 W. Hollins Street
          Baltimore, MD  21201
            Services:
            • Behavioral Health (Transitional Living - Adult)
              (Supervised - Adult)
            1324-A Hollins Street - Residential
            1324-A Hollins Street
            Baltimore, MD  21223
              Services:
              • Behavioral Health (Transitional Living - Adult)
                (Supervised - Adult)
              1324-B Hollins Street - Residential
              1324-B Hollins Street
              Baltimore, MD  21223
                Services:
                • Behavioral Health (Transitional Living - Adult)
                  (Supervised - Adult)
                1422 W. Lombard
                1422 W. Lombard
                Baltimore, MD  21201
                  Services:
                  • Behavioral Health (Day Programs - Adult)
                    (Partial - Adult)
                  227 Gilmore
                  227 Gilmore
                  Baltimore, MD  21201
                    Services:
                    • Behavioral Health (Transitional Living - Adult)
                      (Supervised - Adult)
                    302 S. Calhoun Street - Intensive
                    302 S. Calhoun Street
                    Baltimore, MD  21201
                      Services:
                      • Behavioral Health (Transitional Living - Adult)
                        (Supervised - Adult)
                      701 West Pratt Street
                      701 West Pratt Street
                      Baltimore, MD  21201
                        Services:
                        • Assertive Community Treatment/Community Support Services (Non 24 Hour Care - Adult)
                        • Behavioral Health (Day Programs - Adult/Child/Youth)
                          (Transitional Living - Adult)
                          (Non 24 Hour Care - Adult/Child/Youth)
                          (24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
                          (Partial - Adult/Child/Youth)
                          (Supervised - Adult)
                        • Case Management (Non 24 Hour Care - Adult)
                        • Chemical Dependency (Day Programs - Adult)
                          (Non 24 Hour Care - Adult)
                          (Partial - Adult)
                        • Employment Services (Non 24 Hour Care)
                        • Vocational Rehabilitation (Non 24 Hour Care - Adult)
                        850 W. Pratt Street - Intensive Residential
                        850 W. Pratt Street
                        Baltimore, MD  21201
                          Services:
                          • Behavioral Health (Transitional Living - Adult)
                            (Supervised - Adult)
                          854 W. Pratt Street - Intensive Residential
                          854 W. Pratt Street
                          Baltimore, MD  21201
                            Services:
                            • Behavioral Health (Transitional Living - Adult)
                              (Supervised - Adult)
                            856 W. Pratt
                            856 W. Pratt
                            Baltimore, MD  21201
                              Services:
                              • Behavioral Health (Transitional Living - Adult)
                                (Supervised - Adult)
                              864 W. Lombard Street (F) - Intensive Residential
                              864 W. Lombard Street (F)
                              Baltimore, MD  21201
                                Services:
                                • Behavioral Health (Transitional Living - Adult)
                                  (Supervised - Adult)
                                864 W. Lombard Street (R) - Intensive Residential
                                864 W. Lombard Street (R)
                                Baltimore, MD  21201
                                  Services:
                                  • Behavioral Health (Transitional Living - Adult)
                                    (Supervised - Adult)
                                  915 W. Lombard
                                  915 W. Lombard
                                  Baltimore, MD  21201
                                    Services:
                                    • Behavioral Health (Transitional Living - Adult)
                                      (Supervised - Adult)
                                    916 W. Lombard Street - Intensive Residential
                                    916 W. Lombard Street
                                    Baltimore, MD  21223
                                      Services:
                                      • Behavioral Health (Transitional Living - Adult)
                                        (Supervised - Adult)
                                      Brachial Plexus Clinic
                                      29 South Greene Street, 4 North
                                      Baltimore, MD  21201
                                        Services:
                                        • Single Specialty Practitioner (Outpatient)
                                        Community Support Program
                                        701 West Pratt Street
                                        Baltimore, MD  21201
                                          Services:
                                          • Case Management (Non 24 Hour Care - Adult)
                                          Comprehensive Recovery Program
                                          701 W. Pratt Street, lower level
                                          Baltimore, MD  21201
                                            Services:
                                            • Chemical Dependency (Non 24 Hour Care - Adult)
                                            Frenkil Building
                                            16 S. Eutaw
                                            Baltimore, MD  21201
                                              Services:
                                              • Outpatient Clinics (Outpatient)
                                              Harbor City Unlimited
                                              1227 W. Pratt Street
                                              Baltimore, MD  21223
                                                Services:
                                                • Behavioral Health (Non 24 Hour Care - Adult)
                                                • Employment Services (Non 24 Hour Care)
                                                • Vocational Rehabilitation (Non 24 Hour Care - Adult)
                                                Harbor City Unlimited
                                                227 Gilmore Street
                                                Baltimore, MD  21201
                                                Other Clinics/Practices located at this site:
                                                • Residential Homes
                                                Services:
                                                • Behavioral Health (Transitional Living - Adult)
                                                  (Supervised - Adult)
                                                • Employment Services (Non 24 Hour Care)
                                                Pediatric Breathmobile
                                                Redwood Street
                                                Baltimore, MD  21201
                                                  Services:
                                                  • Single Specialty Practitioner (Outpatient)
                                                  Program of Assertive Community Treatment (PACT)
                                                  701 W. Pratt Street
                                                  Baltimore, MD  21201
                                                    Services:
                                                    • Assertive Community Treatment/Community Support Services (Non 24 Hour Care - Adult/Child/Youth)
                                                    University of Maryland Medical Center  *
                                                    22 South Greene Street
                                                    Baltimore, MD  21201
                                                    Joint Commission Advanced Certification Programs:
                                                    • Advanced Comprehensive Stroke Center
                                                    • Primary Stroke Center
                                                    • Ventricular Assist Device
                                                      Services:
                                                      • Assertive Community Treatment/Community Support Services (Non 24 Hour Care - Adult/Child/Youth)
                                                      • Behavioral Health (Day Programs - Adult/Child/Youth)
                                                        (Transitional Living - Adult)
                                                        (Non 24 Hour Care - Adult/Child/Youth)
                                                        (24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
                                                        (Partial - Adult/Child/Youth)
                                                        (Supervised - Adult)
                                                      • Brachytherapy (Imaging/Diagnostic Services)
                                                      • Cardiac Catheterization Lab (Surgical Services)
                                                      • Cardiac Surgery (Surgical Services)
                                                      • Cardiothoracic Surgery (Surgical Services)
                                                      • Cardiovascular Unit (Inpatient)
                                                      • Case Management (Non 24 Hour Care - Adult)
                                                      • Chemical Dependency (Day Programs - Adult)
                                                        (Non 24 Hour Care - Adult)
                                                        (Partial - Adult)
                                                      • Coronary Care Unit (Inpatient)
                                                      • CT Scanner (Imaging/Diagnostic Services)
                                                      • Dialysis Unit (Inpatient)
                                                      • Ear/Nose/Throat Surgery (Surgical Services)
                                                      • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
                                                      • Employment Services (Non 24 Hour Care)
                                                      • Gastroenterology (Surgical Services)
                                                      • GI or Endoscopy Lab (Imaging/Diagnostic Services)
                                                      • Gynecological Surgery (Surgical Services)
                                                      • Gynecology (Inpatient)
                                                      • Hematology/Oncology Unit (Inpatient)
                                                      • Interventional Radiology (Imaging/Diagnostic Services)
                                                      • Labor & Delivery (Inpatient)
                                                      • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
                                                      • Medical /Surgical Unit (Inpatient)
                                                      • Medical ICU (Intensive Care Unit)
                                                      • Neuro/Spine ICU (Intensive Care Unit)
                                                      • Neuro/Spine Unit (Inpatient)
                                                      • Neurosurgery (Surgical Services)
                                                      • Normal Newborn Nursery (Inpatient)
                                                      • Nuclear Medicine (Imaging/Diagnostic Services)
                                                      • Ophthalmology (Surgical Services)
                                                      • Orthopedic Surgery (Surgical Services)
                                                      • Orthopedic/Spine Unit (Inpatient)
                                                      • Outpatient Clinics (Outpatient)
                                                      • Pediatric Unit (Inpatient)
                                                      • Plastic Surgery (Surgical Services)
                                                      • Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
                                                      • Post Anesthesia Care Unit (PACU) (Inpatient)
                                                      • Radiation Oncology (Imaging/Diagnostic Services)
                                                      • Surgical ICU (Intensive Care Unit)
                                                      • Surgical Unit (Inpatient)
                                                      • Teleradiology (Imaging/Diagnostic Services)
                                                      • Thoracic Surgery (Surgical Services)
                                                      • Transplant Surgery (Surgical Services)
                                                      • Ultrasound (Imaging/Diagnostic Services)
                                                      • Urology (Surgical Services)
                                                      • Vascular Surgery (Surgical Services)
                                                      • Vocational Rehabilitation (Non 24 Hour Care - Adult)
                                                      Walter P. Carter Clinic
                                                      701 W. Pratt Street
                                                      Baltimore, MD  21201
                                                        Services:
                                                        • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
                                                        • Case Management (Non 24 Hour Care - Adult/Child/Youth)
                                                        Walter P. Carter Carruthers Clinic
                                                        427 Linden Avenue
                                                        Baltimore, MD  21201
                                                          Services:
                                                          • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)

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