Illinois Hospital Report Card

and Consumer Guide to Health Care

Ascension Saints Mary and Elizabeth

Patient Safety - Surgical Site Infections (SSIs)

Surgical Site Infections (SSIs)

Presented below are data for surgical site infections associated with coronary artery bypass graft surgery (CABG) and total knee replacement surgery (KPROs) using the Standardized Infection Ratio (SIR). Superficial and secondary surgical site infections are not included in the summary data below. Statewide summaries of surgical site infection data arranged by surgical procedure (CABG, KPRO) and hospital are also included.

Statistical Significance

Statistically significantly better than state average or performing at the best possible rate

Not statistically significantly better or worse than state average

Statistically significantly worse than state average

Footnotes

Key	Description
45	Complete Reporting: Zero infections. Number of predicted LabID events too low to calculate a precise SIR
47	Complete Reporting: Number of predicted LabID events too low to calculate a precise SIR
48	No Target Procedures Performed
114	Complete Reporting: Number of predicted events too low to calculate a precise SIR
117	Complete Reporting: Zero infections. Number of reported events is not significantly different than predicted
118	Complete Reporting: Zero infections. Number of predicted events too low to calculate a precise SIR
153	Complete Reporting: Zero infections. Number of predicted events too low to calculate a precise SIR
155	Complete Reporting: 20 or Fewer Procedures Performed

SSI Measure	Result	SIR
Total Knee Replacement Surgery Q1 2020 - Q4 2020 Result 0 infections, 179 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 179 procedures ¹¹⁸	N/A ¹¹⁸
Description Surgical Site Infections Associated with Total Knee Replacement Surgery Summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2019 - Q4 2019 Result 2 infections, 252 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	2 infections, 252 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2018 - Q4 2018 Result 2 infections, 214 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	2 infections, 214 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2017 - Q4 2017 Result 2 infections, 174 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	2 infections, 174 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2016 - Q4 2016 Result 0 infections, 220 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 220 procedures ¹⁵³	N/A ¹⁵³
Q1 2015 - Q4 2015 Result 0 infections, 177 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 177 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2014 - Q4 2014 Result 1 infections, 189 procedures Rating SIR: 0.71	1 infections, 189 procedures	0.71
Q3 2013 - Q2 2014 Result 0 infections, 148 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 148 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2012 - Q2 2013 Result 0 infections, 123 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 123 procedures ¹¹⁸	N/A ¹¹⁸
Q3 2011 - Q2 2012 Result 0 infections, 31 procedures ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 31 procedures ⁴⁵	N/A ⁴⁵
Q3 2010 - Q2 2011 Result 1 infections, 49 procedures ⁴⁷ Rating SIR: N/A ⁴⁷	1 infections, 49 procedures ⁴⁷	N/A ⁴⁷
Coronary Artery Bypass Graft Surgery Q1 2020 - Q4 2020 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Description Surgical Site Infections Associated with Coronary Artery Bypass Graft Surgery Summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2019 - Q4 2019 Result 0 infections, 18 procedures ¹⁵⁵ Rating SIR: N/A ¹⁵⁵	0 infections, 18 procedures ¹⁵⁵	N/A ¹⁵⁵
Q1 2018 - Q4 2018 Result 0 infections, 24 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 24 procedures ¹⁵³	N/A ¹⁵³
Q1 2016 - Q4 2016 Result 0 infections, 30 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 30 procedures ¹⁵³	N/A ¹⁵³
Q1 2015 - Q4 2015 Result 0 infections, 42 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 42 procedures ¹⁵³	N/A ¹⁵³
Q1 2014 - Q4 2014 Result 0 infections, 41 procedures Rating SIR: N/A	0 infections, 41 procedures	N/A
Q3 2013 - Q2 2014 Result 0 infections, 27 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 27 procedures ¹¹⁸	N/A ¹¹⁸
Q3 2012 - Q2 2013 Result 0 infections, 42 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 42 procedures ¹¹⁸	N/A ¹¹⁸
Q3 2011 - Q2 2012 Result 0 infections, 57 procedures ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 57 procedures ⁴⁵	N/A ⁴⁵
Q3 2010 - Q2 2011 Result 0 infections, 44 procedures ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 44 procedures ⁴⁵	N/A ⁴⁵