JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Medstar Southern Maryland Hospital Center

2 / 5

At a glance

Medstar Southern Maryland Hospital Center 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 Limit0.061Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.194Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6222Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.533Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.361Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.008Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.780Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6335Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.325Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.158Better than national
SSI - Colon Surgery: Lower Confidence Limit0.076Same as national
SSI - Colon Surgery: Upper Confidence Limit1.503Same as national
SSI - Colon Surgery: Number of Procedures161Same as national
SSI - Colon Surgery: Predicted Cases4.395Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.455Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures22Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.202Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.461Same as national
MRSA Bacteremia: Upper Confidence Limit2.789Same as national
MRSA Bacteremia: Patient Days59164Same as national
MRSA Bacteremia: Predicted Cases3.973Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia1.258Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.072Better than national
Clostridium Difficile (C.Diff): Patient Days57921Better than national
Clostridium Difficile (C.Diff): Predicted Cases41.684Better 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 patients3Same as national115
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national1355
Death rate for heart attack patients10.7Same as national299
Death rate for CABG surgery patientsNot available
Death rate for COPD patients5.9Better than national137
Death rate for heart failure patients8.4Better than national459
Death rate for pneumonia patients14.3Same as national357
Death rate for stroke patients15.7Same as national321
Pressure ulcer rate0.61Same as national5000
Death rate among surgical inpatients with serious treatable complications148.76Same as national79
Iatrogenic pneumothorax rate0.14Same as national6662
In-hospital fall-associated fracture rate0.22Same as national6900
Postoperative hemorrhage or hematoma rate2.40Same as national960
Postoperative acute kidney injury requiring dialysis rate1.49Same as national338
Postoperative respiratory failure rate11.92Same as national372
Perioperative pulmonary embolism or deep vein thrombosis rate3.76Same as national986
Postoperative sepsis rate5.22Same as national340
Postoperative wound dehiscence rate1.60Same as national283
Abdominopelvic accidental puncture or laceration rate0.76Same as national1052
CMS Medicare PSI 90: Patient safety and adverse events composite1.03Same 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 patients-14.3Not available283
Hospital return days for heart failure patients6.5Not available579
Hospital return days for pneumonia patients10.8Not available366
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national2222
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national707
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 surgery0.9Same as national415
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.4Same as national283
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1Same as national156
Heart failure (HF) 30-Day Readmission Rate17.8Same as national579
Rate of readmission after hip/knee replacement5.5Same as national106
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national366

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 rating1711
Doctor communication - star rating2711
Communication about medicines - star rating1711
Discharge information - star rating1711
Cleanliness - star rating2711
Quietness - star rating1711
Overall hospital rating - star rating1711
Recommend hospital - star rating1711
Summary star rating1711

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 vaccination932213
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 better397360
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 better386333
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better34114
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better69013
Left before being seen447818
Head CT results8635
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9674
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5730
Safe Use of Opioids - Concurrent Prescribing111322
Appropriate care for severe sepsis and septic shock26106
Septic Shock 3-Hour Bundle3228
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle58107
Severe Sepsis 6-Hour Bundle7850
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295284
Venous Thromboembolism Prophylaxis973566
Intensive Care Unit Venous Thromboembolism Prophylaxis99932

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 Southern Maryland Hospital Center rated?
Medstar Southern Maryland Hospital Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Medstar Southern Maryland Hospital Center have emergency services?
Yes. Medstar Southern Maryland Hospital Center operates a 24/7 emergency department.
Where is Medstar Southern Maryland Hospital Center located?
Medstar Southern Maryland Hospital Center is located at 7503 Surratts Road, Clinton, MD 20735.
What type of hospital is Medstar Southern Maryland Hospital Center?
Medstar Southern Maryland Hospital Center 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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