UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER Review
Get Information, Ratings, Surveys, and Compare UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER to other hospitals
Overall Hospital Rating: ; HCAPS approval: 54%
Database data as of January 31, 2024
A Review of the Data
Prepared by Richard Saunders as of January 31, 2024.
The Centers for Medicare & Medicaid Services ("CMS") distributes more than 80 tables of data on hospitals on a quarterly basis. That is a lot of information to pour through to try and build a comprehensive review of UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER. Luckily, we are here to help! I’ve put together this page to help you to get a better idea of what the hospital does, who is affiliated with it, share any patient survey data and much more. (If you want to jump to a specific section of the review, here are the section headers: General Hospital Data, Ratings, Cost Analysis, Infections, Comparison, Nearby Skilled Nursing Facilities, Doctors Associated with UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER, Survey Analysis.)
In the briefest summary, UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER is one of the types of hospitals called Acute Care Hospitals. It is in LA PLATA, MD. Its five star rating is 2 . Its type of ownership is Voluntary non-profit - Private. The facility's Medicare ID is 210035. It does provide emergency services. There are 207 medical professionals and 103 doctor groups affiliated with the hospital. We do not have data on average costs for care provided at UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER.
According to the Hospital Consumer Assessment of Healthcare Providers and Systems ("HCAHPS") that ended in September 30, 2021, 54% of the patients surveyed definitely recommended UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER, while only 8% did not recommend going to UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER.
The information presented below is based on data provided by U.S. Centers for Medicare & Medicaid Services (CMS). It is updated as new data is made available.
General Information for UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER
Address:
5 GARRETT AVENUE
LA PLATA, MD
20646
(301) 609-4265
Click for Map
Medicare Provider Number:
210035
Type:
Acute Care Hospitals
Ownership:
Voluntary non-profit - Private
Overall Hospital Quality Star Rating for UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER
Overall Rating:
The Overall Hospital Quality Star Rating for UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER summarizes a variety of measures across 5 areas of quality into a single star rating for each hospital. Once reporting thresholds are met, a hospital’s Overall Star Rating is calculated using only those measures for which data are available. Hospitals report data to The Centers for Medicare & Medicaid Services ("CMS") through the Hospital Inpatient Quality Reporting (IQR) Program, Hospital Outpatient Quality Reporting (OQR) Program, Hospital Readmission Reduction Program (HRRP), Hospital-Acquired Condition (HAC) Reduction Program, and Hospital Value-Based Purchasing (VBP) Program. Overall Star Ratings aren’t calculated for Veterans Health Administration (VHA) or Department of Defense (DoD) hospitals.
Most hospitals will have an Overall Hospital Quality Star Rating of 3.
National distribution of the Overall Hospital Quality Star Rating The following table shows the national distribution of the Overall Star Rating based on July 2022 results.
Overall rating | Number of hospitals / Percentage |
---|---|
1 star | 198 (6.34%) |
2 stars | 702 (22.49%) |
3 stars | 895 (28.68%) |
4 stars | 895 (28.68%) |
5 stars | 431 (13.81%) |
N/A | 1,368 (30.47%) |
Additional detailed on the method for calculating the Overall Hospital Quality Star Rating from this document.
Patient Survey Results
Below is information compiled by CMS on the percentage of patients who respond to specific treatments and a comparison of the results for UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER to the national results for similar facilities.
Survey Question | Response |
---|---|
Patients who reported that their nurses "Always" communicated well | 75 % |
Patients who reported that their nurses "Sometimes" or "Never" communicated well | 5 % |
Patients who reported that their nurses "Usually" communicated well | 20 % |
Nurse communication - linear mean score | Not Applicable |
Nurse communication - star rating | Not Applicable |
Patients who reported that their nurses "Always" treated them with courtesy and respect | 84 % |
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect | 2 % |
Patients who reported that their nurses "Usually" treated them with courtesy and respect | 14 % |
Patients who reported that their nurses "Always" listened carefully to them | 71 % |
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them | 6 % |
Patients who reported that their nurses "Usually" listened carefully to them | 23 % |
Patients who reported that their nurses "Always" explained things in a way they could understand | 69 % |
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand | 8 % |
Patients who reported that their nurses "Usually" explained things in a way they could understand | 23 % |
Patients who reported that their doctors "Always" communicated well | 72 % |
Patients who reported that their doctors "Sometimes" or "Never" communicated well | 7 % |
Patients who reported that their doctors "Usually" communicated well | 21 % |
Doctor communication - linear mean score | Not Applicable |
Doctor communication - star rating | Not Applicable |
Patients who reported that their doctors "Always" treated them with courtesy and respect | 80 % |
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect | 6 % |
Patients who reported that their doctors "Usually" treated them with courtesy and respect | 14 % |
Patients who reported that their doctors "Always" listened carefully to them | 70 % |
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them | 8 % |
Patients who reported that their doctors "Usually" listened carefully to them | 22 % |
Patients who reported that their doctors "Always" explained things in a way they could understand | 66 % |
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand | 9 % |
Patients who reported that their doctors "Usually" explained things in a way they could understand | 25 % |
Patients who reported that they "Always" received help as soon as they wanted | 54 % |
Patients who reported that they "Sometimes" or "Never" received help as soon as they wanted | 13 % |
Patients who reported that they "Usually" received help as soon as they wanted | 33 % |
Staff responsiveness - linear mean score | Not Applicable |
Staff responsiveness - star rating | Not Applicable |
Patients who reported that they "Always" received help after using the call button as soon as they wanted | 55 % |
Patients who reported that they "Sometimes" or "Never" received help after using the call button as soon as they wanted | 11 % |
Patients who reported that they "Usually" received help after using the call button as soon as they wanted | 34 % |
Patients who reported that they "Always" received bathroom help as soon as they wanted | 54 % |
Patients who reported that they "Sometimes" or "Never" received bathroom help as soon as they wanted | 14 % |
Patients who reported that they "Usually" received bathroom help as soon as they wanted | 32 % |
Patients who reported that staff "Always" explained about medicines before giving it to them | 55 % |
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them | 25 % |
Patients who reported that staff "Usually" explained about medicines before giving it to them | 20 % |
Communication about medicines - linear mean score | Not Applicable |
Communication about medicines - star rating | Not Applicable |
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for | 70 % |
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for | 12 % |
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for. | 18 % |
Patients who reported that when receiving new medication the staff "Always" discussed possible side effects | 40 % |
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects | 38 % |
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects | 22 % |
Patients who reported that NO, they were not given information about what to do during their recovery at home | 13 % |
Patients who reported that YES, they were given information about what to do during their recovery at home | 87 % |
Discharge information - linear mean score | Not Applicable |
Discharge information - star rating | Not Applicable |
Patients who reported that NO, they did not discuss whether they would need help after discharge | 14 % |
Patients who reported that YES, they did discuss whether they would need help after discharge | 86 % |
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge | 12 % |
Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge | 88 % |
Patients who "Agree" they understood their care when they left the hospital | 47 % |
Patients who "Disagree" or "Strongly Disagree" they understood their care when they left the hospital | 7 % |
Patients who "Strongly Agree" they understood their care when they left the hospital | 46 % |
Care transition - linear mean score | Not Applicable |
Care transition - star rating | Not Applicable |
Patients who "Agree" that the staff took my preferences into account when determining my health care needs | 56 % |
Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needs | 7 % |
Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needs | 37 % |
Patients who "Agree" that they understood their responsiblities in managing their health | 47 % |
Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their health | 7 % |
Patients who "Strongly Agree" that they understood their responsiblities in managing their health | 46 % |
Patients who "Agree" that they understood the purposes of their medications when leaving the hospital | 40 % |
Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospital | 6 % |
Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospital | 54 % |
Patients who reported that their room and bathroom were "Always" clean | 71 % |
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean | 10 % |
Patients who reported that their room and bathroom were "Usually" clean | 19 % |
Cleanliness - linear mean score | Not Applicable |
Cleanliness - star rating | Not Applicable |
Patients who reported that the area around their room was "Always" quiet at night | 58 % |
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night | 10 % |
Patients who reported that the area around their room was "Usually" quiet at night | 32 % |
Quietness - linear mean score | Not Applicable |
Quietness - star rating | Not Applicable |
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) | 11 % |
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) | 27 % |
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) | 62 % |
Overall hospital rating - linear mean score | Not Applicable |
Overall hospital rating - star rating | Not Applicable |
Patients who reported NO, they would probably not or definitely not recommend the hospital | 8 % |
Patients who reported YES, they would definitely recommend the hospital | 54 % |
Patients who reported YES, they would probably recommend the hospital | 38 % |
Recommend hospital - linear mean score | Not Applicable |
Recommend hospital - star rating | Not Applicable |
Summary star rating | Not Applicable |
Cost of UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER, Compare to National and State Averages
Understanding how much a hospital is going to cost is extremely difficult. Hospitals themselves actively obscure what they charge and have negotiated different rates with different insurers. Then you have the problem of the wide variety of treatments which the UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER provides.
To provide some standard metric to compare hospital costs, CMS publishes the MSPB (or "Medicare Spending Per Beneficiary"). Even though you may not be on Medicare, this metric may still be useful. The MSPB is expressed as a percentage compared to the national average for costs that Medicare incurs. A percentage higher than 100% means the hospital charges more than the national average while a percentage less than 100% means the hospital charges less than the national average.
MSPB for UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER: Not Available
We do not have detailed cost analysis for UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER.
Infection Rates at UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER
These measures show how often patients at UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER contract certain infections during the course of their medical treatment, when compared to other hospitals nationally.
Infection Type | Score / Compare to National Average |
---|---|
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.40 / Same |
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 3.04 / Same |
Central Line Associated Bloodstream Infection: Number of Device Days | 4,728.00 / Same |
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 3.17 / Same |
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 4.00 / Same |
Central Line Associated Bloodstream Infection (ICU + select Wards) | 1.26 / Same |
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | -- / Better |
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.86 / Better |
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 5,175.00 / Better |
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 3.49 / Better |
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 0.00 / Better |
Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.00 / Better |
SSI - Colon Surgery: Lower Confidence Limit | -- / Same |
SSI - Colon Surgery: Upper Confidence Limit | 1.91 / Same |
SSI - Colon Surgery: Number of Procedures | 57.00 / Same |
SSI - Colon Surgery: Predicted Cases | 1.57 / Same |
SSI - Colon Surgery: Observed Cases | 0.00 / Same |
SSI - Colon Surgery | 0.00 / Same |
SSI - Abdominal Hysterectomy: Lower Confidence Limit | Not Available / Not Available |
SSI - Abdominal Hysterectomy: Upper Confidence Limit | Not Available / Not Available |
SSI - Abdominal Hysterectomy: Number of Procedures | 21.00 / Not Available |
SSI - Abdominal Hysterectomy: Predicted Cases | 0.20 / Not Available |
SSI - Abdominal Hysterectomy: Observed Cases | 0.00 / Not Available |
SSI - Abdominal Hysterectomy | Not Available / Not Available |
MRSA Bacteremia: Lower Confidence Limit | 0.04 / Same |
MRSA Bacteremia: Upper Confidence Limit | 3.56 / Same |
MRSA Bacteremia: Patient Days | 25,756.00 / Same |
MRSA Bacteremia: Predicted Cases | 1.38 / Same |
MRSA Bacteremia: Observed Cases | 1.00 / Same |
MRSA Bacteremia | 0.72 / Same |
Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.50 / Same |
Clostridium Difficile (C.Diff): Upper Confidence Limit | 1.76 / Same |
Clostridium Difficile (C.Diff): Patient Days | 25,756.00 / Same |
Clostridium Difficile (C.Diff): Predicted Cases | 10.11 / Same |
Clostridium Difficile (C.Diff): Observed Cases | 10.00 / Same |
Clostridium Difficile (C.Diff) | 0.99 / Same |
How UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER Compares to Other Similar Facilities
This is how UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER compares to other similar hospitals nationally based on data provided to CMS.
Worst Hospitals in LA PLATA, MD
Percentages of Complications and Deaths at UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER
Measure | Score | Compared to National Rates |
---|---|---|
Rate of complications for hip/knee replacement patients | 2.8% | SAME |
Death rate for heart attack patients | 11.5% | SAME |
Death rate for CABG surgery patients | NA | Not Enough Data |
Death rate for COPD patients | 10.5% | SAME |
Death rate for heart failure patients | 10.4% | SAME |
Death rate for pneumonia patients | 16.3% | SAME |
Death rate for stroke patients | 12% | SAME |
Pressure ulcer rate | 0.36% | SAME |
Death rate among surgical inpatients with serious treatable complications | 167.45% | SAME |
Iatrogenic pneumothorax rate | 0.22% | SAME |
In-hospital fall with hip fracture rate | 0.09% | SAME |
Postoperative hemorrhage or hematoma rate | 3.04% | SAME |
Postoperative acute kidney injury requiring dialysis rate | 1.5% | SAME |
Postoperative respiratory failure rate | 6.45% | SAME |
Perioperative pulmonary embolism or deep vein thrombosis rate | 4.1% | SAME |
Postoperative sepsis rate | 4.67% | SAME |
Postoperative wound dehiscence rate | 1.83% | SAME |
Abdominopelvic accidental puncture or laceration rate | 0.89% | SAME |
CMS Medicare PSI 90: Patient safety and adverse events composite | 0.86% | SAME |
Skilled Nursing Facilities Near UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER
Many hospital patients are not ready to return home after a hospital visit. If recovery is going to be protracted, doctors will often advise that the patients recuperate at a skilled nursing facility. Below is a list of the skilled nursing homes near UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER ranked by their CMS 5-Star Overall Rating.
Medical Groups Affiliated with UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER
There are 207 doctors and 103 medical groups that are affiliated with UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER.
Affiliated Doctor Groups
- HEART CENTER OF SOUTHERN MARYLAND, L.L.P.
- MDICS AT CALVERT LLC
- MDICS AT CIVISTA LLC
- UNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC
- UNIVERSITY IMAGING CENTER, LLC
- UNIVERSITY OF MARYLAND DIAGNOSTIC IMAGING SPECIALISTS, P A
- MORI BEAN AND BROOKS INC
- APOGEE MEDICAL GROUP DELAWARE INC
- MDICS AT UMROI, LLC
- MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
- CHESAPEAKEANDWASHINGTON HEART CARE, PC
- CIVISTA MEDICAL CENTER INC
- M MANAGEMENT GROUP LLC
- UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC
- BLACKWELL PHYSICIANS, LLC
- ADVANCED PATHOLOGY ASSOCIATES, LLC
- CAPITAL CRITICAL CARE, LLC
- ANACOSTIA MEDICAL ASSOCIATES
- MDICS AT ANNE ARUNDEL LLC
- KIDNEY MEDICAL ASSOCIATES INC
- ADFINITAS HEALTH PALLIATIVE SERVICES, LLC
- CENTERS FOR ADVANCED ORTHOPAEDICS LLC
- MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC
- MARYLAND ANESTHESIA AND PAIN MANAGEMENT SERVICES PC
- MEDSTAR HEART INSTITUTE LLC
- CRH MD MANAGEMENT LLC
- EMERGENCY MEDICINE ASSOCIATES PA PC
- INOVA CARES - COMMUNITY
- LARRY S HOTCHKISS DPM LLC
- ADVANCED RADIOLOGY PA
- LUNG AND SLEEP INSTITUTE LLC
- HOSPITAL MEDICINE SERVICES OF VA LLC
- INTELLIRAD IMAGING LLC
- GEORGE WASHINGTON UNIVERSITY MEDICAL FACULTY ASSOCIATES
- MARYLAND ONCOLOGY HEMATOLOGY PA
- LUMINIS HEALTH MEDICAL GROUP, LLC
- UNIV OF MD PATHOLOGY ASSOCIATES P A
- MEDSTAR MEDICAL GROUP II LLC
- SHORE-BAYY HOSPITALISTS ASSOCIATES
- USACS INTEGRATED ACUTE CARE SERVICES OF MARYLAND LLC
- GLOBAL ANESTHESIA SERVICES LLC
- OREGON HEALTH AND SCIENCES UNIVERSITY/UNIVERSITY MEDICAL GROUP
- PRECISION ORTHOPEDICS AND SPORTS MEDICINE
- MGMC LLC
- WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
- SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
- DLP TWIN COUNTY PHYSICIAN PRACTICES LLC
- ASSOCIATES IN RADIATION MEDICINE, PC
- MDICS REHABILITATIVE SERVICES LLC
- JAYARAMAN MEDICAL ASSOCIATES
- UNION HOSPITAL OF CECIL COUNTY
- DAVID A GORDON PC
- VASCULAR INSTITUTE OF VIRGINIA LLC
- METROPOLITAN VASCULAR INSTITUTE LLC
- FIRST COLONIES ANESTHESIA ASSOCIATES, LLC
- NORTHSTAR ANESTHESIA OF VIRGINIA, LLC
- BAY ANESTHESIA ASSOCIATES LLC
- SURGICAL ANESTHESIA ASSOCIATES PLLC
- JOHNS HOPKINS UNIVERSITY
- BAYHEALTH MEDICAL CENTER, INC
- US ANESTHESIA PARTNERS OF DC PC
- ADFINITAS HEALTH AT UMCAP LLC
- WASHINGTON IMAGING ASSOCIATES OF DC LLC
- MARYLAND IMAGING NETWORK PC
- PROGRESSIVE MRI LLC
- OLNEY OPEN MRI LLC
- SHOCK TRAUMA ASSOCIATES PA
- GAINESVILLE RADIOLOGY GROUP PC
- GASTROINTESTINAL ASSOCIATES OF MARYLAND PA
- ADVANCED INPATIENT MEDICINE PC
- COOPER PHYSICIAN OFFICES PA
- FAIR OAKS HOSPITALIST PHYSICIANS, PLLC
- HOSPITALIST MEDICINE PHYSICIANS OF VIRGINIA LLC
- PATIENT FIRST RICHMOND MEDICAL GROUP PLLC
- MEDSTAR MEDICAL GROUP RADIOLOGY LLC
- QUANTUM EMERGENCY PHYSICIANS PA
- TIDALHEALTH PHYSICIAN NETWORK, INC.
- SOUTHERN ILLINOIS MEDICAL SERVICES NFP
- PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC
- LEGACY HEALTHCARE SERVICES INC
- MEDSTAR URGENT CARE LLC
- ST. AGNES HEALTHCARE, INC.
- MURPHY HOSPITALIST GROUP, PLLC
- UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES PA
- MERITUS MEDICAL CENTER INC
- PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC
- ANESTHESIA COMPANY LLC
- PHYSICIAN GROUPS LC
- SUMMIT RADIOLOGY PC
- SPECTRUM HEALTHCARE PARTNERS PA
- HENRY COUNTY MEMORIAL HOSPITAL
- JEFFERSON UNIVERSITY PHYSICIANS
- WHC PHYSICIAN GROUP LLC
- LIFEBRIDGE COMMUNITY PHYSICIANS INC
- INOVA HEALTH CARE SERVICES
- W.A. FOOTE MEMORIAL HOSPITAL, INC.
- BRONSON METHODIST HOSPITAL
- UNIVERSITY OF MARYLAND PHYSICIANS P.A.
- CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC
- QUANTUM IMAGING AND THERAPEUTIC ASSOCIATES INC
- HOLY CROSS ANESTHESIOLOGY ASSOCIATE, PA
- GERIATRIC MULTISPECIALTY ASSOCIATES
- ALEXANDRIA SPORTS, INC.
The list of medical professionals associated with UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER is very long, so we have added another pages. See a list of medical professionals associated with UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER.