JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Medstar Union Memorial Hospital

5 / 5

At a glance

Medstar Union Memorial 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. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 Limit0.012Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.224Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4068Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.030Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.248Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.010Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.955Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4668Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.165Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.194Better than national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures11Not available
SSI - Colon Surgery: Predicted Cases0.323Not 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 ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.011Same as national
MRSA Bacteremia: Upper Confidence Limit1.108Same as national
MRSA Bacteremia: Patient Days47777Same as national
MRSA Bacteremia: Predicted Cases4.453Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.225Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.277Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.796Better than national
Clostridium Difficile (C.Diff): Patient Days47777Better than national
Clostridium Difficile (C.Diff): Predicted Cases28.802Better than national
Clostridium Difficile (C.Diff): Observed Cases14Better than national
Clostridium Difficile (C.Diff)0.486Better 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 patients2.4Same as national241
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national1710
Death rate for heart attack patients11.3Same as national218
Death rate for CABG surgery patients2Same as national157
Death rate for COPD patients7.1Same as national143
Death rate for heart failure patients8.6Better than national429
Death rate for pneumonia patients12.9Same as national186
Death rate for stroke patients13.7Same as national109
Pressure ulcer rate1.10Same as national5513
Death rate among surgical inpatients with serious treatable complications167.71Same as national124
Iatrogenic pneumothorax rate0.28Same as national7549
In-hospital fall-associated fracture rate0.24Same as national7769
Postoperative hemorrhage or hematoma rate2.53Same as national2335
Postoperative acute kidney injury requiring dialysis rate1.34Same as national1396
Postoperative respiratory failure rate7.03Same as national1510
Perioperative pulmonary embolism or deep vein thrombosis rate2.94Same as national2553
Postoperative sepsis rate3.49Same as national1381
Postoperative wound dehiscence rate1.70Same as national352
Abdominopelvic accidental puncture or laceration rate0.94Same as national988
CMS Medicare PSI 90: Patient safety and adverse events composite0.98Same 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-22.8Not available377
Hospital return days for heart failure patients-11.3Not available590
Hospital return days for pneumonia patients-20.8Not available196
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.5Better than national2578
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
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 national1215
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate11.7Same as national377
Rate of readmission for CABG9.3Same as national154
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national168
Heart failure (HF) 30-Day Readmission Rate18Same as national590
Rate of readmission after hip/knee replacement4Same as national223
Pneumonia (PN) 30-Day Readmission Rate14.5Same as national196

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 rating21042
Doctor communication - star rating31042
Communication about medicines - star rating21042
Discharge information - star rating31042
Cleanliness - star rating31042
Quietness - star rating21042
Overall hospital rating - star rating31042
Recommend hospital - star rating41042
Summary star rating31042

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 vaccination963166
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 better219403
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 better216380
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better102816
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 seen244264
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing162289
Appropriate care for severe sepsis and septic shock56100
Septic Shock 3-Hour Bundle5833
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle82100
Severe Sepsis 6-Hour Bundle8370
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 294107
Venous Thromboembolism Prophylaxis974371
Intensive Care Unit Venous Thromboembolism Prophylaxis971221

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Medstar Union Memorial Hospital rated?
Medstar Union Memorial Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Medstar Union Memorial Hospital have emergency services?
Yes. Medstar Union Memorial Hospital operates a 24/7 emergency department.
Where is Medstar Union Memorial Hospital located?
Medstar Union Memorial Hospital is located at 201 East University Parkway, Baltimore, MD 21218.
What type of hospital is Medstar Union Memorial Hospital?
Medstar Union Memorial Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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