P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalNorthwest Hospital Center×

Hospital record · FY2026CCN 210040

1Hospital

Northwest Hospital Center

2Location

Randallstown, MD (Maryland’s hospitals on the map and in the table) 21133

Baltimore County

3Type

Not a teaching hospital · 215 beds · Nonprofit · Urban

4Care Compare stars

2 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
Open on Care Compare (opens in a new tab)

5Total HAC Score

−0.0055

As CMS reports it

6Payment reduction

N/A

7Estimated cut

$0

Maryland: exempt

Not subject

$0

Maryland’s hospitals are exempt from this program’s cut.

For fiscal year 2026, CMS reports a Total HAC Score of −0.0055 for Northwest Hospital Center and a payment reduction decision of N/A.

Maryland’s hospitals are scored but not subject to the reduction. The score compares hospitals with each other; it is not a grade of the quality of care.

CMS cut scores of 0.3799 and above.

Each year CMS cuts the hospitals with the highest quarter of scores, those above the 75th percentile, so the line moves with other hospitals’ scores.

lowest −1.4728 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: −0.0055 This hospital −0.0055 lowest −1.4728 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: −0.0055 This hospital −0.0055

Higher than 52% of the other 2,928 scores CMS published (higher is worse).

CMS’s note on the payment reduction: Maryland hospitals are waived from receiving payment adjustments under the Program.

Where the score came from

CMS scored this hospital on all 6 measures. On every measure a lower value is better. Each row puts the hospital among every hospital with a value: the gray columns are those hospitals, the tall tick is the national median, and the hatched ends score the same as CMS’s floor or cap.

Bringing PSI 90 down to the national median (0.9623) would lower the score the most: by 0.3898, to −0.3953. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 2; PSI 90 added the most to its score.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

    Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.

    added the most

    Patient safety and adverse events composite

    Worse than 93% of the other 2,808 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0021. How this site estimates

    CMS value1.2973

    Z-score2.1557

    Part of score+0.3593

  2. CLABSI (what it counts)

    Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Central line–associated bloodstream infections

    Worse than 64% of the other 2,181 hospitals

    CMS value0.718

    Z-score0.2591

    Part of score+0.0432

  3. CAUTI (what it counts)

    Urinary tract infections that start from a urinary catheter, a tube that drains the bladder. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Catheter-associated urinary tract infections

    Better than 58% of the other 2,354 hospitals

    CMS value0.410

    Z-score−0.3303

    Part of score−0.0550

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Surgical site infections after colon surgery or abdominal hysterectomy

    Better than 87% of the other 2,269 hospitals

    CMS value0.156

    Z-score−1.1892

    Part of score−0.1982

  5. CDI (what it counts)

    C. diff infections, which cause diarrhea and inflammation of the colon, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Clostridioides difficile (C. diff) infections

    Better than 58% of the other 2,766 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0071. How this site estimates

    CMS value0.293

    Z-score−0.3276

    Part of score−0.0546

  6. MRSA (what it counts)

    Bloodstream infections with MRSA, a germ that resists several antibiotics, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    MRSA bloodstream infections

    Better than 71% of the other 2,067 hospitals

    CMS value0.410

    Z-score−0.6004

    Part of score−0.1001

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.29730.96232.1557+0.3593Worse than 93% of the other 2,808 hospitals
CLABSI0.7180.5590.2591+0.0432Worse than 64% of the other 2,181 hospitals
CAUTI0.4100.489−0.3303−0.0550Better than 58% of the other 2,354 hospitals
SSI0.1560.795−1.1892−0.1982Better than 87% of the other 2,269 hospitals
CDI0.2930.346−0.3276−0.0546Better than 58% of the other 2,766 hospitals
MRSA0.4100.641−0.6004−0.1001Better than 71% of the other 2,067 hospitals

How the parts add up

CMS adds the z‑scores and divides by the number of measures scored, so each measure counts the same. Each bar below is one z‑score divided by 6; a bar right of zero raised the score and one left of zero lowered it.

(2.1557PSI 90+0.2591CLABSI−0.3303CAUTI−1.1892SSI−0.3276CDI−0.6004MRSA)÷6measures=−0.0055Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.0055; CMS reports −0.0055. The small difference is rounding.

Figure 2. The parts add up to −0.0055, below CMS’s line.
1% cut PSI 90: z‑score 2.1557 divided by 6 = +0.3593PSI 90+0.3593 CLABSI: z‑score 0.2591 divided by 6 = +0.0432CLABSI+0.0432 CAUTI: z‑score −0.3303 divided by 6 = −0.0550CAUTI−0.0550 SSI: z‑score −1.1892 divided by 6 = −0.1982SSI−0.1982 CDI: z‑score −0.3276 divided by 6 = −0.0546CDI−0.0546 MRSA: z‑score −0.6004 divided by 6 = −0.1001MRSA−0.1001 Total HAC Score: −0.0055Score−0.0055 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.4 1% cut PSI 90: z‑score 2.1557 divided by 6 = +0.3593PSI 90+0.3593 CLABSI: z‑score 0.2591 divided by 6 = +0.0432CLABSI+0.0432 CAUTI: z‑score −0.3303 divided by 6 = −0.0550CAUTI−0.0550 SSI: z‑score −1.1892 divided by 6 = −0.1982SSI−0.1982 CDI: z‑score −0.3276 divided by 6 = −0.0546CDI−0.0546 MRSA: z‑score −0.6004 divided by 6 = −0.1001MRSA−0.1001 Total HAC Score: −0.0055Score−0.0055 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.4

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 902.1557+0.35930.3593
CLABSI0.2591+0.04320.4025
CAUTI−0.3303−0.05500.3475
SSI−1.1892−0.19820.1493
CDI−0.3276−0.05460.0947
MRSA−0.6004−0.1001−0.0054
Total HAC Score−0.0055
CMS’s line0.37920.3799

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score and the payment reduction decision, starting from CMS’s values.

The what-if needs JavaScript. Without it, the values below stay as they are.

Show table
CMS reportsHypothetical
Total HAC Score−0.0055same
Payment reduction decisionN/A (not subject to the reduction)same

CMS reports a Total HAC Score of −0.0055 and a payment reduction decision of N/A (not subject to the reduction).

A what-if shows the formula’s arithmetic, not what a hospital could realistically change or how. CMS’s real result also depends on other hospitals.

Each measure weighs 1 ÷ 6 of the score.

Measure values

SIR 1.0 = as many infections as predicted · Lower is better

On each track the tick is the national median; shaded values score the same as the floor or cap, as this site fits them to CMS’s values.

CMS 1.2973 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.718 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.410 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.156 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.293 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.410 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 3. PSI 90 added the most to this hospital’s Total HAC Score of −0.0055 among its measured results: +0.3593.
  • PSI 90 +0.3593
  • CLABSI +0.0432
  • CAUTI −0.0550
  • SSI −0.1982
  • CDI −0.0546
  • MRSA −0.1001

A measure adds its z‑score divided by 6, the number of measures scored. Bars right of the center line raise the score. Hatched: assigned by CMS.

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreHypothetical
PSI 902.1557+0.3593same
CLABSI0.2591+0.0432same
CAUTI−0.3303−0.0550same
SSI−1.1892−0.1982same
CDI−0.3276−0.0546same
MRSA−0.6004−0.1001same

Among hospitals with a Yes or No payment decision, CMS cut those with a published Total HAC Score of 0.3799 or higher and none at 0.3792 or lower. Maryland’s hospitals are scored but not subject to the reduction.

Held fixed: every other hospital’s results, CMS’s line, and each measure’s mean, spread, floor and cap as this site fits them to CMS’s published values.

Its infections, year by year

This hospital’s infection rate against prediction for each calendar year Care Compare published one, on each measure with at least two years of results (black), over the nation’s middle hospital (gray). Below the dashed line at one, fewer infections than predicted. Each year is measured against the same fixed baseline, not against other hospitals, so unlike the score they can all improve at once.

Figure 4. 3 of its 5 infection measures ended lower than they started.
CLABSI 0.00 → 1.04 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.000CLABSI, 2018: 2.785CLABSI, 2019: 0.273CLABSI, 2021: 0.989CLABSI, 2022: 0.541CLABSI, 2023: 0.443CLABSI, 2024: 1.042 CAUTI 0.28 → 0.49 1 0 ’18’21’24 CAUTI, 2017: 0.284CAUTI, 2018: 1.533CAUTI, 2019: 0.443CAUTI, 2021: 0.440CAUTI, 2022: 0.256CAUTI, 2023: 0.332CAUTI, 2024: 0.486 SSI, colon 1.59 → 0.00 1 0 ’18’21’24 SSI, colon, 2017: 1.590SSI, colon, 2018: 2.463SSI, colon, 2019: 1.416SSI, colon, 2021: 0.000SSI, colon, 2022: 0.000SSI, colon, 2023: 0.357SSI, colon, 2024: 0.000 MRSA 0.68 → 0.33 1 0 ’18’21’24 MRSA, 2017: 0.679MRSA, 2018: 1.408MRSA, 2019: 0.247MRSA, 2021: 0.858MRSA, 2022: 0.648MRSA, 2023: 0.465MRSA, 2024: 0.330 C. diff 0.42 → 0.28 1 0 ’18’21’24 C. diff, 2017: 0.419C. diff, 2018: 0.419C. diff, 2019: 0.327C. diff, 2021: 0.570C. diff, 2022: 0.415C. diff, 2023: 0.303C. diff, 2024: 0.283 CLABSI 0.00 → 1.04 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.000CLABSI, 2018: 2.785CLABSI, 2019: 0.273CLABSI, 2021: 0.989CLABSI, 2022: 0.541CLABSI, 2023: 0.443CLABSI, 2024: 1.042 CAUTI 0.28 → 0.49 1 0 ’18’20’22’24 CAUTI, 2017: 0.284CAUTI, 2018: 1.533CAUTI, 2019: 0.443CAUTI, 2021: 0.440CAUTI, 2022: 0.256CAUTI, 2023: 0.332CAUTI, 2024: 0.486 SSI, colon 1.59 → 0.00 1 0 ’18’20’22’24 SSI, colon, 2017: 1.590SSI, colon, 2018: 2.463SSI, colon, 2019: 1.416SSI, colon, 2021: 0.000SSI, colon, 2022: 0.000SSI, colon, 2023: 0.357SSI, colon, 2024: 0.000 MRSA 0.68 → 0.33 1 0 ’18’20’22’24 MRSA, 2017: 0.679MRSA, 2018: 1.408MRSA, 2019: 0.247MRSA, 2021: 0.858MRSA, 2022: 0.648MRSA, 2023: 0.465MRSA, 2024: 0.330 C. diff 0.42 → 0.28 1 0 ’18’20’22’24 C. diff, 2017: 0.419C. diff, 2018: 0.419C. diff, 2019: 0.327C. diff, 2021: 0.570C. diff, 2022: 0.415C. diff, 2023: 0.303C. diff, 2024: 0.283

Source: CMS Care Compare, healthcare-associated infections by hospital, calendar years 2017 to 2024 (Provider Data Catalog archives; the oldest year through the Internet Archive’s copy).

Show table
Calendar yearCLABSICAUTISSI, colonMRSAC. diff
20170.0000.2841.5900.6790.419
20182.7851.5332.4631.4080.419
20190.2730.4431.4160.2470.327
20210.9890.4400.0000.8580.570
20220.5410.2560.0000.6480.415
20230.4430.3320.3570.4650.303
20241.0420.4860.0000.3300.283

Among hospitals like it

Each row is a group this hospital belongs to, drawn from every hospital in it with a payment decision. Red columns are hospitals past CMS’s line, the ones CMS cut; the short tick is the group’s middle score.

Figure 5. Its score is above the middle in all 6 groups it belongs to; the share cut runs from 22% (South region) to 26% (Nonprofit).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region 1,174 hospitals22% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban 2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: −0.0055 This hospital −0.0055 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region1,174 hospitals22% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: −0.0055 This hospital −0.0055

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
GroupWith a decisionHospitals cutShare cutMiddle scoreHospital higher than
All hospitals2,88671825%−0.045352%
South region1,17426322%−0.105655%
Not teaching1,56338925%−0.105356%
100 to 299 beds1,19327523%−0.073254%
Nonprofit1,83047826%−0.013450%
Urban2,24151023%−0.057453%
This hospital−0.0055
CMS’s line0.37920.3799

The nearest hospitals

The 8 closest hospitals with a Total HAC Score, in a straight line. The squares are each hospital’s measures in order: filled, above the national median; open, at or below it; hatched, assigned by CMS; blank, not scored.

Figure 6. CMS cut none of the 8 nearest hospitals; the closest is 5 miles away.
5 mi8. University of MD Medical Center Midtown Campus, Baltimore: score 1.3222, not subject, 10 miles87. University of MD St Joseph Medical Center, Towson: score −0.0806, not subject, 9 miles76. MedStar Union Memorial Hospital, Baltimore: score −0.5056, not subject, 9 miles65. Saint Agnes Hospital, Baltimore: score −0.0138, not subject, 9 miles54. Greater Baltimore Medical Center, Baltimore: score 0.2342, not subject, 8 miles43. Sinai Hospital of Baltimore, Baltimore: score 0.6934, not subject, 6 miles32. Levindale Hebrew Geriatric Center and Hospital, Baltimore: score 0.4392, not subject, 6 miles21. UMD Rehabilitation & Orthopaedic Institute, Baltimore: score 1.9139, not subject, 5 miles1This hospital: Northwest Hospital Center

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
HospitalMilesScoreDecision
UMD Rehabilitation & Orthopaedic Institute, Baltimore, MD51.9139not subject
Levindale Hebrew Geriatric Center and Hospital, Baltimore, MD60.4392not subject
Sinai Hospital of Baltimore, Baltimore, MD60.6934not subject
Greater Baltimore Medical Center, Baltimore, MD80.2342not subject
Saint Agnes Hospital, Baltimore, MD9−0.0138not subject
MedStar Union Memorial Hospital, Baltimore, MD9−0.5056not subject
University of MD St Joseph Medical Center, Towson, MD9−0.0806not subject
University of MD Medical Center Midtown Campus, Baltimore, MD101.3222not subject

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1UMD Rehabilitation & Orthopaedic InstituteBaltimore, MD51.9139N/A$0Above the national median on 6 of 6 measures
2Levindale Hebrew Geriatric Center and HospitalBaltimore, MD60.4392N/A$0Above the national median on 2 of 3 measures
3Sinai Hospital of BaltimoreBaltimore, MD60.6934N/A$0Above the national median on 5 of 6 measures
4Greater Baltimore Medical CenterBaltimore, MD80.2342N/A$0Above the national median on 3 of 6 measures
5Saint Agnes HospitalBaltimore, MD9−0.0138N/A$0Above the national median on 4 of 6 measures
6MedStar Union Memorial HospitalBaltimore, MD9−0.5056N/A$0Above the national median on 2 of 5 measures
7University of MD St Joseph Medical CenterTowson, MD9−0.0806N/A$0Above the national median on 4 of 6 measures
8University of MD Medical Center Midtown CampusBaltimore, MD101.3222N/A$0Above the national median on 5 of 6 measures

CMS’s footnotes on this page

a
Maryland hospitals are waived from receiving payment adjustments under the Program.

A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

Cite this page

Paid & Penalized. Northwest Hospital Center, Randallstown, MD: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/210040/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.