The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

UNIVERSITY OF MARYLAND MEDICAL CENTER 22 SOUTH GREENE STREET BALTIMORE, MD 21201 Oct. 27, 2016
VIOLATION: PATIENT RIGHTS: NOTICE OF RIGHTS Tag No: A0117
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on review closed medical records, the hospital failed to provide 1 patient with the second Important Message to Medicare and failed to provide an initial or second Important Message to Medicare to another patient.
Patient #11 was admitted [DATE] an initial Important Message from Medicare was presented to the patient 9/23/2016. No second Important Message from Medicare was presented to the patient #11 within 2 days of discharge.
Patient # 10 was admitted [DATE] no initial Important Message from Medicare was presented to the patient within 2 days of admission. No second Important Message from Medicare was presented to the patient #10 within 2 days of discharge.
VIOLATION: PATIENT RIGHTS: INFORMED CONSENT Tag No: A0131
Based on review of open and closed medical records, the hospital failed to provide informed consent to 1 patient.
Patient #12 was given a consent for cardiac surgery. The form was pre-filled by a person other than the physician who signed the form. The dates and times were both pre-filled on the form. With this information being pre-filled one is unable to determine who presented the form and explained the information to the patient, and if the patient and physician signed the form at the same time. The consent that was signed by the patient also states that all procedures may be done by a member of the treatment team. Without specifying which procedures this includes one is unable to determine if the members of the treatment team are qualified to perform the established procedures.
VIOLATION: PATIENT RIGHTS: ADVANCED DIRECTIVES Tag No: A0132
Based on review of open and closed medical records, the hospital failed to determine if 1 behavioral health patient had a behavioral health directive.
Patient #7 was admitted to an inpatient behavioral health unit on 9/23/2016. Patient #7 was asked if they had a medical advanced directive. There was no indication that patient #7 was asked if they had a behavioral health directive.
VIOLATION: MEDICAL RECORD SERVICES Tag No: A0450
Based on the review of open and closed medical records, the hospital failed to document time accurately.
The medical record documenting system EPIC that is used by the hospital documents time in both military and standard methods. By using two different time methods there is no baseline for future actions or assessments.