JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Bayhealth Hospital, Sussex Campus

3 / 5

At a glance

Bayhealth Hospital, Sussex Campus carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.829Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1730Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.638Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.451Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1973Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.065Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence Limit0.579Same as national
SSI - Colon Surgery: Upper Confidence Limit4.392Same as national
SSI - Colon Surgery: Number of Procedures85Same as national
SSI - Colon Surgery: Predicted Cases2.197Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery1.821Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures58Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.498Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.194Same as national
MRSA Bacteremia: Patient Days42317Same as national
MRSA Bacteremia: Predicted Cases2.508Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.115Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.698Better than national
Clostridium Difficile (C.Diff): Patient Days41211Better than national
Clostridium Difficile (C.Diff): Predicted Cases15.867Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.315Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients3.8Same as national35
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national1056
Death rate for heart attack patients13.5Same as national62
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.3Same as national142
Death rate for heart failure patients12.6Same as national317
Death rate for pneumonia patients15.4Same as national399
Death rate for stroke patients14.1Same as national124
Pressure ulcer rate1.39Same as national3474
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national3923
In-hospital fall-associated fracture rate0.28Same as national3986
Postoperative hemorrhage or hematoma rate2.43Same as national378
Postoperative acute kidney injury requiring dialysis rate1.64Same as national74
Postoperative respiratory failure rate10.74Same as national77
Perioperative pulmonary embolism or deep vein thrombosis rate3.36Same as national390
Postoperative sepsis rate5.84Same as national71
Postoperative wound dehiscence rate2.03Same as national117
Abdominopelvic accidental puncture or laceration rate0.94Same as national616
CMS Medicare PSI 90: Patient safety and adverse events composite1.26Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patientsNot available
Hospital return days for heart failure patients12.8Not available357
Hospital return days for pneumonia patients4.8Not available413
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national1652
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national1044
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.8Same as national142
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.5Same as national142
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national390
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national44
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national156
Heart failure (HF) 30-Day Readmission Rate18.7Same as national357
Rate of readmission after hip/knee replacement4.5Same as national31
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national413

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating41103
Doctor communication - star rating31103
Communication about medicines - star rating21103
Discharge information - star rating31103
Cleanliness - star rating31103
Quietness - star rating41103
Overall hospital rating - star rating41103
Recommend hospital - star rating41103
Summary star rating31103

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumehigh
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia11385
Hospital Harm - Opioid Related Adverse Events12677
Healthcare workers given influenza vaccination851275
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better256382
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better252359
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26620
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen358062
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9772
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing141039
Appropriate care for severe sepsis and septic shock41236
Septic Shock 3-Hour Bundle5672
Septic Shock 6-Hour Bundle5229
Severe Sepsis 3-Hour Bundle71237
Severe Sepsis 6-Hour Bundle85120
Discharged on Antithrombotic Therapy97121
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Bayhealth Hospital, Sussex Campus rated?
Bayhealth Hospital, Sussex Campus has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Bayhealth Hospital, Sussex Campus have emergency services?
Yes. Bayhealth Hospital, Sussex Campus operates a 24/7 emergency department.
Where is Bayhealth Hospital, Sussex Campus located?
Bayhealth Hospital, Sussex Campus is located at 100 Wellness Way, Milford, DE 19963.
What type of hospital is Bayhealth Hospital, Sussex Campus?
Bayhealth Hospital, Sussex Campus is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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