Illinois Hospital Report Card

and Consumer Guide to Health Care

Prime Healthcare St. Joseph Medical Center

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 the national average or performing at the best possible rate

Not statistically significantly better or worse than the national average

Statistically significantly worse than the national average

Key	Description
46	Complete Reporting: Zero infections. Number of reported events is not significantly different than predicted
49	Complete Reporting: 20 or Fewer Procedures Performed
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
154	Complete Reporting: Number of predicted events too low to calculate a precise SIR

SSI Measure	Result	SIR
Total Knee Replacement Surgery Q1 2024 - Q4 2024 Result 0 infections, 1 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 1 procedures ⁴⁹	N/A ⁴⁹
Description Surgical Site Infections Associated with Total Knee Replacement Surgery Summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2023 - Q4 2023 Result 1 infections, 76 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 76 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2022 - Q4 2022 Result 1 infections, 137 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 137 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2021 - Q4 2021 Result 0 infections, 149 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 149 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2020 - Q4 2020 Result 1 infections, 112 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 112 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2019 - Q4 2019 Result 2 infections, 234 procedures Rating SIR: 1.80	2 infections, 234 procedures	1.80
Q1 2018 - Q4 2018 Result 1 infections, 268 procedures Rating SIR: 0.90	1 infections, 268 procedures	0.90
Q1 2017 - Q4 2017 Result 0 infections, 312 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 312 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2016 - Q4 2016 Result 1 infections, 385 procedures Rating SIR: 0.58	1 infections, 385 procedures	0.58
Q1 2015 - Q4 2015 Result 4 infections, 318 procedures Rating SIR: 1.96	4 infections, 318 procedures	1.96
Q1 2014 - Q4 2014 Result 0 infections, 327 procedures Rating SIR: 0.00	0 infections, 327 procedures	0.00
Q3 2013 - Q2 2014 Result 4 infections, 346 procedures Rating SIR: 1.75	4 infections, 346 procedures	1.75
Q3 2012 - Q2 2013 Result 0 infections, 399 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 399 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 1 infections, 375 procedures Rating SIR: 0.42	1 infections, 375 procedures	0.42
Q3 2010 - Q2 2011 Result 1 infections, 378 procedures Rating SIR: 0.40	1 infections, 378 procedures	0.40
Coronary Artery Bypass Graft Surgery Q1 2024 - Q4 2024 Result 0 infections, 21 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 21 procedures ¹¹⁸	N/A ¹¹⁸
Description Surgical Site Infections Associated with Coronary Artery Bypass Graft Surgery Summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2023 - Q4 2023 Result 2 infections, 95 procedures Rating SIR: 1.50	2 infections, 95 procedures	1.50
Q1 2022 - Q4 2022 Result 0 infections, 105 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 105 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2021 - Q4 2021 Result 0 infections, 113 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 113 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2020 - Q4 2020 Result 0 infections, 104 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 104 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2019 - Q4 2019 Result 0 infections, 131 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 131 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2018 - Q4 2018 Result 2 infections, 195 procedures Rating SIR: 1.08	2 infections, 195 procedures	1.08
Q1 2016 - Q4 2016 Result 1 infections, 142 procedures Rating SIR: 0.87	1 infections, 142 procedures	0.87
Q1 2015 - Q4 2015 Result 2 infections, 187 procedures Rating SIR: 0.81	2 infections, 187 procedures	0.81
Q1 2014 - Q4 2014 Result 2 infections, 187 procedures Rating SIR: 0.84	2 infections, 187 procedures	0.84
Q3 2013 - Q2 2014 Result 2 infections, 196 procedures Rating SIR: 0.78	2 infections, 196 procedures	0.78
Q3 2012 - Q2 2013 Result 0 infections, 175 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 175 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 2 infections, 212 procedures ⁴⁶ Rating SIR: 0.76 ⁴⁶	2 infections, 212 procedures ⁴⁶	0.76 ⁴⁶
Q3 2010 - Q2 2011 Result 0 infections, 199 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 199 procedures ⁴⁶	0.00 ⁴⁶