Bayhealth Medical Center, Kent Campus

Hospital in Dover, DE, Medicare certification number 080004. CMS publishes 64 quality measures for it.

Medicare certification

Provider of Services

CCN: 080004The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Dec 20, 2012
Beds: 304
Overall star rating: 2 of 5Care Compare
Address: 640 S State Street
Dover, DE 19901
(302) 674-4700

NPI records for this facility 1

Bayhealth Medical Center, Inc.
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse2 of 5
- State average 2.57 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.14 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.14 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 2.43 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 2.86 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse2 of 5
- State average 2.57 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 2.57 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse2 of 5
- State average 2.86 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse2 of 5
- State average 2.57 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.97
- State average 1.06 (computed here)
- National average 1.06
- No different than the national rate
- 1,350 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.16
- State average 1.28 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected212.27
- National average 173.3
- No different than the national rate
- 89 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.2
- National average 2.4
- No different than the national rate
- 72 patients
- Period from 07/01/2022
Death rate for COPD patients As expected6.5
- State average 8.44 (computed here)
- National average 8.6
- No different than the national rate
- 247 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected13.4
- State average 12.55 (computed here)
- National average 11.9
- No different than the national rate
- 245 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11.9
- State average 10.69 (computed here)
- National average 11.1
- No different than the national rate
- 583 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected16
- State average 14.29 (computed here)
- National average 15.2
- No different than the national rate
- 994 patients
- Period from 07/01/2022
Death rate for stroke patients As expected13
- State average 10.93 (computed here)
- National average 11.9
- No different than the national rate
- 310 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.5
- State average 3.83 (computed here)
- National average 3.9
- No different than the national rate
- 3,507 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate Worse0.41
- State average 0.22 (computed here)
- National average 0.21
- Worse than the national rate
- 7,985 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.34
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 8,263 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.24
- State average 2.83 (computed here)
- National average 3.52
- No different than the national rate
- 1,600 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.32
- State average 1.68 (computed here)
- National average 1.67
- No different than the national rate
- 455 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.32
- State average 2.17 (computed here)
- National average 2.34
- No different than the national rate
- 1,551 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected12.47
- State average 9.37 (computed here)
- National average 9.42
- No different than the national rate
- 459 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.1
- State average 4.68 (computed here)
- National average 5.27
- No different than the national rate
- 451 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.53
- State average 1.71 (computed here)
- National average 1.77
- No different than the national rate
- 339 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.88
- State average 1.77 (computed here)
- National average 0.63
- No different than the national rate
- 7,091 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (1)

Rate of complications for hip/knee replacement patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.69
- State average 0.58
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.32
- State average 0.5
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.25
- State average 0.44
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia Better0
- State average 0.72
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.4
- State average 0.67
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 3.5
- State average 3.65 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 9
- State average 7.25 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.04
- State average 1.01
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 35
- State average 49
- National average 65
- 289 patients
- Period from 10/01/2024
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 274
- State average 224
- National average 168
- 372 patients
- Period from 10/01/2024
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 268
- State average 217
- National average 162
- 346 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 474
- State average 368
- National average 257
- 18 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 94
- State average 96 (computed here)
- National average 96.1 (computed here)
- 225 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 88
- State average 94
- National average 93
- 76 patients
- Period from 01/01/2024
Head CT results 56
- State average 58
- National average 69
- 16 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 76
- State average 78
- National average 78
- 4,040 patients
- Period from 10/01/2024
Hospital Harm - Opioid Related Adverse Events 1
- National average 0.18 (computed here)
- 6,041 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 1
- National average 1.09 (computed here)
- 3,037 patients
- Period from 01/01/2024
Left before being seen 3
- State average 5
- National average 2
- 74,311 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 16
- State average 14
- National average 15
- 2,475 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 60
- State average 65
- National average 73
- 65 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 78
- State average 81
- National average 87
- 27 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 60
- State average 70
- National average 81
- 290 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 69
- State average 85
- National average 93
- 119 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — very high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Severe Hyperglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected16.1
- State average 14.67 (computed here)
- National average 14.4
- No different than the national rate
- 298 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.4
- State average 21.21 (computed here)
- National average 21.3
- No different than the national rate
- 709 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 40.7
- National average 6.71 (computed here)
- Average days per 100 discharges
- 281 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 36
- State average 7.94 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 664 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 44
- State average 2.17 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 1,070 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected19
- State average 17.44 (computed here)
- National average 17.3
- No different than the national rate
- 1,143 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5
- State average 5.2 (computed here)
- National average 5.4
- No different than the national rate
- 219 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected12.4
- State average 11.28 (computed here)
- National average 10.7
- No different than the national rate
- 219 patients
- Period from 01/01/2024
Rate of readmission for CABG As expected12.3
- National average 11
- No different than the national rate
- 59 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.4
- State average 20.1 (computed here)
- National average 20
- No different than the national rate
- 336 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.5
- State average 12.52 (computed here)
- National average 13
- No different than the national rate
- 1,022 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 0.95 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 688 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission after hip/knee replacement — 1

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.