Illinois Hospital Report Card

and Consumer Guide to Health Care

CGH 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
45	Complete Reporting: Zero infections. 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
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
154	Complete Reporting: Number of predicted events too low to calculate a precise SIR

SSI Measure	Result	SIR
Total Knee Replacement Surgery Q1 2025 - Q4 2025 Result 0 infections, 157 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 157 procedures ¹¹⁸	N/A ¹¹⁸
Download Data Description Surgical Site Infections Associated with Total Knee Replacement Surgery Summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2024 - Q4 2024 Result 0 infections, 117 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 117 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2023 - Q4 2023 Result 1 infections, 128 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 128 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2022 - Q4 2022 Result 0 infections, 141 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 141 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2021 - Q4 2021 Result 0 infections, 120 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 120 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2020 - Q4 2020 Result 0 infections, 124 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 124 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2019 - Q4 2019 Result 1 infections, 146 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 146 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2018 - Q4 2018 Result 0 infections, 130 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 130 procedures ¹⁵³	N/A ¹⁵³
Q1 2017 - Q4 2017 Result 1 infections, 110 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 110 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2016 - Q4 2016 Result 2 infections, 108 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	2 infections, 108 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2015 - Q4 2015 Result 0 infections, 133 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 133 procedures ¹⁵³	N/A ¹⁵³
Q1 2014 - Q4 2014 Result 0 infections, 132 procedures Rating SIR: N/A	0 infections, 132 procedures	N/A
Q3 2013 - Q2 2014 Result 0 infections, 138 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 138 procedures ¹¹⁸	N/A ¹¹⁸
Q3 2012 - Q2 2013 Result 1 infections, 178 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 178 procedures ¹¹⁴	N/A ¹¹⁴
Q3 2011 - Q2 2012 Result 0 infections, 140 procedures ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 140 procedures ⁴⁵	N/A ⁴⁵
Q3 2010 - Q2 2011 Result 0 infections, 136 procedures ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 136 procedures ⁴⁵	N/A ⁴⁵
Coronary Artery Bypass Graft Surgery Q1 2024 - Q4 2024 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Download Data Description Surgical Site Infections Associated with Coronary Artery Bypass Graft Surgery Summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
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
Q1 2019 - Q4 2019 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q1 2018 - Q4 2018 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q1 2016 - Q4 2016 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q1 2015 - Q4 2015 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q1 2014 - Q4 2014 Result N/A infections, N/A procedures Rating SIR: N/A	N/A infections, N/A procedures	N/A
Q3 2013 - Q2 2014 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q3 2012 - Q2 2013 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q3 2011 - Q2 2012 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q3 2010 - Q2 2011 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸