Acute Care Hospitals · Voluntary non-profit - Private
Bryn Mawr Hospital
- 130 South Bryn Mawr Ave, Bryn Mawr, PA 19010
- (610) 526-3000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Bryn Mawr Hospital carries a 5-star CMS overall rating — above 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.008 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.758 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 6327 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 6.506 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 1 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.154 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.408 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.667 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 7299 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 9.113 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 8 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.878 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.014 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.341 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 155 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 3.679 | Same as national |
| SSI - Colon Surgery: Observed Cases | 1 | Same as national |
| SSI - Colon Surgery | 0.272 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 99 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.801 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 3 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.016 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.581 | Same as national |
| MRSA Bacteremia: Patient Days | 72181 | Same as national |
| MRSA Bacteremia: Predicted Cases | 3.119 | Same as national |
| MRSA Bacteremia: Observed Cases | 1 | Same as national |
| MRSA Bacteremia | 0.321 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.183 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.643 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 63460 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 27.730 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 10 | Better than national |
| Clostridium Difficile (C.Diff) | 0.361 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 2.9 | Same as national | 337 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.5 | Better than national | 2319 |
| Death rate for heart attack patients | 12.3 | Same as national | 133 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 5.8 | Better than national | 171 |
| Death rate for heart failure patients | 11.8 | Same as national | 675 |
| Death rate for pneumonia patients | 14.9 | Same as national | 713 |
| Death rate for stroke patients | 13.1 | Same as national | 357 |
| Pressure ulcer rate | 0.47 | Same as national | 7324 |
| Death rate among surgical inpatients with serious treatable complications | 168.59 | Same as national | 72 |
| Iatrogenic pneumothorax rate | 0.22 | Same as national | 9157 |
| In-hospital fall-associated fracture rate | 0.23 | Same as national | 9433 |
| Postoperative hemorrhage or hematoma rate | 1.78 | Same as national | 2013 |
| Postoperative acute kidney injury requiring dialysis rate | 1.43 | Same as national | 1090 |
| Postoperative respiratory failure rate | 6.13 | Same as national | 1103 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.46 | Same as national | 2121 |
| Postoperative sepsis rate | 4.50 | Same as national | 1069 |
| Postoperative wound dehiscence rate | 1.61 | Same as national | 520 |
| Abdominopelvic accidental puncture or laceration rate | 1.18 | Same as national | 1606 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.82 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 9.8 | Not available | 117 |
| Hospital return days for heart failure patients | 12 | Not available | 718 |
| Hospital return days for pneumonia patients | -17.9 | Not available | 725 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15 | Same as national | 3924 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12 | Same as national | 702 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 8.9 | Same as national | 176 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5 | Same as national | 176 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as national | 979 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.3 | Same as national | 117 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19 | Same as national | 206 |
| Heart failure (HF) 30-Day Readmission Rate | 21.4 | Same as national | 718 |
| Rate of readmission after hip/knee replacement | 5.9 | Same as national | 324 |
| Pneumonia (PN) 30-Day Readmission Rate | 14.9 | Same as national | 725 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 4 | 1552 |
| Doctor communication - star rating | 3 | 1552 |
| Communication about medicines - star rating | 3 | 1552 |
| Discharge information - star rating | 4 | 1552 |
| Cleanliness - star rating | 2 | 1552 |
| Quietness - star rating | 3 | 1552 |
| Overall hospital rating - star rating | 4 | 1552 |
| Recommend hospital - star rating | 5 | 1552 |
| Summary star rating | 4 | 1552 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | 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 Hypoglycemia | — | — |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 100 | 2504 |
| 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 better | 221 | 402 |
| 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 better | 207 | 366 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 410 | 35 |
| 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 seen | 1 | 52962 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 99 | 152 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 58 | 33 |
| Safe Use of Opioids - Concurrent Prescribing | 13 | 3541 |
| Appropriate care for severe sepsis and septic shock | 60 | 796 |
| Septic Shock 3-Hour Bundle | 71 | 237 |
| Septic Shock 6-Hour Bundle | 90 | 124 |
| Severe Sepsis 3-Hour Bundle | 72 | 796 |
| Severe Sepsis 6-Hour Bundle | 97 | 375 |
| Discharged on Antithrombotic Therapy | 98 | 254 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | 81 | 75 |
| Antithrombotic Therapy by End of Hospital Day 2 | 97 | 222 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Bryn Mawr Hospital rated?
- Bryn Mawr Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
- Does Bryn Mawr Hospital have emergency services?
- Yes. Bryn Mawr Hospital operates a 24/7 emergency department.
- Where is Bryn Mawr Hospital located?
- Bryn Mawr Hospital is located at 130 South Bryn Mawr Ave, Bryn Mawr, PA 19010.
- What type of hospital is Bryn Mawr Hospital?
- Bryn Mawr Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.