JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Bayhealth Medical Center, Kent Campus

2 / 5

At a glance

Bayhealth Medical Center, Kent Campus carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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 Limit0.199Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.514Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5932Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.374Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.628Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.316Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.294Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7089Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.744Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.681Same as national
SSI - Colon Surgery: Lower Confidence Limit0.151Same as national
SSI - Colon Surgery: Upper Confidence Limit1.611Same as national
SSI - Colon Surgery: Number of Procedures176Same as national
SSI - Colon Surgery: Predicted Cases5.067Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.592Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures19Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.176Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.010Better than national
MRSA Bacteremia: Upper Confidence Limit0.970Better than national
MRSA Bacteremia: Patient Days89732Better than national
MRSA Bacteremia: Predicted Cases5.082Better than national
MRSA Bacteremia: Observed Cases1Better than national
MRSA Bacteremia0.197Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.126Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.441Better than national
Clostridium Difficile (C.Diff): Patient Days86756Better than national
Clostridium Difficile (C.Diff): Predicted Cases40.422Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.247Better 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 patients4.3Same as national83
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national2089
Death rate for heart attack patients12.8Same as national235
Death rate for CABG surgery patients2.1Same as national72
Death rate for COPD patients7.4Same as national230
Death rate for heart failure patients12.4Same as national571
Death rate for pneumonia patients17.6Same as national833
Death rate for stroke patients14.4Same as national290
Pressure ulcer rate0.88Same as national7091
Death rate among surgical inpatients with serious treatable complications212.27Same as national89
Iatrogenic pneumothorax rate0.41Worse than national7985
In-hospital fall-associated fracture rate0.34Same as national8263
Postoperative hemorrhage or hematoma rate2.32Same as national1551
Postoperative acute kidney injury requiring dialysis rate1.32Same as national455
Postoperative respiratory failure rate12.47Same as national459
Perioperative pulmonary embolism or deep vein thrombosis rate3.24Same as national1600
Postoperative sepsis rate5.10Same as national451
Postoperative wound dehiscence rate1.53Same as national339
Abdominopelvic accidental puncture or laceration rate0.97Same as national1350
CMS Medicare PSI 90: Patient safety and adverse events composite1.16Same 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 patients41.3Not available280
Hospital return days for heart failure patients37.3Not available647
Hospital return days for pneumonia patients32.3Not available858
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national3395
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national1022
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.4Same as national219
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national219
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national688
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.1Same as national280
Rate of readmission for CABG10.8Same as national70
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national263
Heart failure (HF) 30-Day Readmission Rate19.2Same as national647
Rate of readmission after hip/knee replacement5.3Same as national52
Pneumonia (PN) 30-Day Readmission Rate16.7Same as national858

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 rating3839
Doctor communication - star rating3839
Communication about medicines - star rating2839
Discharge information - star rating3839
Cleanliness - star rating2839
Quietness - star rating2839
Overall hospital rating - star rating2839
Recommend hospital - star rating2839
Summary star rating3839

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 volumevery high
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 Hypoglycemia13037
Hospital Harm - Opioid Related Adverse Events16041
Healthcare workers given influenza vaccination764040
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 better278372
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 better278342
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better39621
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 seen374311
Head CT results6020
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8876
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing162475
Appropriate care for severe sepsis and septic shock35435
Septic Shock 3-Hour Bundle5593
Septic Shock 6-Hour Bundle7739
Severe Sepsis 3-Hour Bundle61436
Severe Sepsis 6-Hour Bundle69189
Discharged on Antithrombotic Therapy94225
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 Medical Center, Kent Campus rated?
Bayhealth Medical Center, Kent Campus has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Bayhealth Medical Center, Kent Campus have emergency services?
Yes. Bayhealth Medical Center, Kent Campus operates a 24/7 emergency department.
Where is Bayhealth Medical Center, Kent Campus located?
Bayhealth Medical Center, Kent Campus is located at 640 S State Street, Dover, DE 19901.
What type of hospital is Bayhealth Medical Center, Kent Campus?
Bayhealth Medical Center, Kent 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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