Quality Report


Quality Report

University of Maryland Medical Center, LLC

DBA: Acute Care Hospital
HCO ID: 6264
22 South Greene Street
Baltimore, MD, 21201-1595
(410) 328-6027
www.umm.edu
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
3/5/2021
Last Full Survey Date
2/16/2024
Last On-Site Survey Date
2/16/2024
Gold Seal
Hospital
Accreditation Decision
Effective Date
3/6/2021
Last Full Survey Date
2/16/2024
Last On-Site Survey Date
3/28/2024

Advanced Certification Programs

View Certification History
Gold Seal
Advanced Comprehensive Stroke Center
Certification Decision
Effective Date
10/19/2022
Last Full Survey Date
10/18/2022
Last On-Site Survey Date
10/18/2022
Gold Seal
Ventricular Assist Device
Certification Decision
Effective Date
3/31/2023
Last Full Survey Date
3/30/2023
Last On-Site Survey Date
3/30/2023

Sites

1008 W Pratt Street-Intensive
1008 W Pratt Street
Baltimore, MD, 21201

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

110 Stricker Street - General
110 Stricker Street
Baltimore, MD, 21201

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

1214 W. Lombard Street- General
1214 W. Lombard Street
Baltimore, MD, 21201

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

1216 W. Lombard Street- General
1216 W. Lombard Street
Baltimore, MD, 21201

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

1322 W. Hollins Street - Intensive
1322 W. Hollins Street
Baltimore, MD, 21201

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

1324-A Hollins Street - General
1324-A Hollins Street- General
Baltimore, MD, 21223

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

1324-B Hollins Street - Intensive
1324-B Hollins Street- Intensive
Baltimore, MD, 21223

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

227 Gilmore Street- General
227 Gilmore Street- General
Baltimore, MD, 21201

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

302 S. Calhoun Street - Intensive
302 S. Calhoun Street- General
Baltimore, MD, 21201

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

850 W. Pratt Street - Intensive
850 W. Pratt Street-Intensive
Baltimore, MD, 21201

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

854 W. Pratt Street - General
854 W. Pratt Street- General
Baltimore, MD, 21201

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

856 W. Pratt Street- Intensive
856 W. Pratt Street- Intensive
Baltimore, MD, 21201

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

864 W. Lombard Street (Front) - Intensive
864 W. Lombard Street (Front)- Intensive
Baltimore, MD, 21201

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

864 W. Lombard Street (Rear) - Intensive
864 W. Lombard Street (Rear)- Intensive
Baltimore, MD, 21201

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

916 W. Lombard Street - Intensive
916 W. Lombard Street- Intensive
Baltimore, MD, 21223

Available Services

  • Community Integration (Non 24 Hour Care )
  • Mental Health (Community Based Homes - Adult )

Central Maryland Radiation Oncology (CMROC, LLC)
DBA: Radiation Oncology Center
10710 Charter Drive Suite G-030
Columbia, MD, 21044

Available Services

  • Outpatient Clinics (Outpatient )

Coordinated Care Center
36 S. Paca Street
Baltimore, MD, 21201

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Heart Failure Program
  • IACC Infusion Clinic
  • Intensive Ambulatory Care

Frenkil Building
16 S. Eutaw Street
Baltimore, MD, 21201

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • ADULT GENETICS CLINIC
  • ANTICOAG CLINIC
  • ENDOCRINE CLINIC
  • GENERAL MED CLINIC
  • ID TRANSPLANT CLINIC
  • NEPHROLOGY CLINIC
  • NEUROLOGY CARE CENTER
  • NUTRITION CLINIC
  • OTORHINOLARYNGOLOGY OUTPATIENT CENTER
  • RHEUMATOLOGY

Harbor City Unlimited
1227 W. Pratt Street
Baltimore, MD, 21223

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Community Integration (Non 24 Hour Care )
  • Employment Services (Non 24 Hour Care )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

Outpatient Psychiatry Programs
DBA: OATS (1st), Child (2nd), CSP (5th), PACT (5th), Fayette (3)
701 West Pratt Street
Baltimore, MD, 21201

Available Services

  • Assertive Community Treatment/Community Support Services (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Case Management (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )

University of Maryland Medical Center
22 S Greene St
Baltimore, MD, 21201

Available Services

  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • 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 )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient 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 )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Nuclear Pharmacy (Inpatient )
  • 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 )
  • Sterile Medication Compounding (Inpatient )
  • 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 )

Certification Programs

  • Advanced Comprehensive Stroke Center
  • Ventricular Assist Device

University of Maryland Medical Center
DBA: Serpick Infusion
7601 Suite 102 Osler Drive
Baltimore, MD, 21201

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Hazardous Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )

University of MD Medical Center
DBA: Kaufman
500 Upper Chesapeake Drive
Bel Air, MD, 21014

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Hazardous Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )

Urgent Care University of Maryland - Downtown Campus
105 Penn Street
Baltimore, MD, 21201

Available Services

  • Perform Invasive Procedure (Outpatient )
  • Urgent Care (Outpatient )

Walter P. Carter Carruthers Clinic
300 Amory Place 2nd floor
Baltimore, MD, 21201

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures 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.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures 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.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Behavioral Health Care and Human Services 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Hospital 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.