JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Medstar Harbor Hospital

4 / 5

At a glance

Medstar Harbor Hospital carries a 4-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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.023Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.254Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2424Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.188Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.457Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.878Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3380Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.412Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures30Not available
SSI - Colon Surgery: Predicted Cases0.889Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures57Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.503Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.093Same as national
MRSA Bacteremia: Upper Confidence Limit1.824Same as national
MRSA Bacteremia: Patient Days47345Same as national
MRSA Bacteremia: Predicted Cases3.622Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.552Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.121Better than national
Clostridium Difficile (C.Diff): Patient Days44066Better than national
Clostridium Difficile (C.Diff): Predicted Cases24.860Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national805
Death rate for heart attack patients11.5Same as national63
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.3Same as national169
Death rate for heart failure patients10Same as national217
Death rate for pneumonia patients14.1Same as national232
Death rate for stroke patients14.7Same as national89
Pressure ulcer rate0.25Same as national2952
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national3795
In-hospital fall-associated fracture rate0.32Same as national3882
Postoperative hemorrhage or hematoma rate2.54Same as national257
Postoperative acute kidney injury requiring dialysis rate1.66Same as national39
Postoperative respiratory failure rate8.79Same as national39
Perioperative pulmonary embolism or deep vein thrombosis rate3.46Same as national292
Postoperative sepsis rate5.08Same as national37
Postoperative wound dehiscence rate1.73Same as national74
Abdominopelvic accidental puncture or laceration rate0.99Same as national435
CMS Medicare PSI 90: Patient safety and adverse events composite0.87Same 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 patients-1.5Not available247
Hospital return days for pneumonia patients7.1Not available256
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.7Same as national1252
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national128
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national30
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national37
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.8Same as national181
Heart failure (HF) 30-Day Readmission Rate18.7Same as national247
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national256

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 rating2419
Doctor communication - star rating3419
Communication about medicines - star rating2419
Discharge information - star rating3419
Cleanliness - star rating4419
Quietness - star rating2419
Overall hospital rating - star rating2419
Recommend hospital - star rating3419
Summary star rating3419

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination952095
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 better218396
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 better208368
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better33023
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 seen442873
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9793
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing141599
Appropriate care for severe sepsis and septic shock5494
Septic Shock 3-Hour Bundle5319
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle7394
Severe Sepsis 6-Hour Bundle8044
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29861
Venous Thromboembolism Prophylaxis982410
Intensive Care Unit Venous Thromboembolism Prophylaxis1001054

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 Medstar Harbor Hospital rated?
Medstar Harbor Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Medstar Harbor Hospital have emergency services?
According to CMS records, Medstar Harbor Hospital does not report a 24/7 emergency department.
Where is Medstar Harbor Hospital located?
Medstar Harbor Hospital is located at 3001 South Hanover Street, Baltimore, MD 21225.
What type of hospital is Medstar Harbor Hospital?
Medstar Harbor Hospital 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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