Vista Medical Center East

Patient Safety - All

Healthcare-Associated Infections

Hospitals in Illinois are participating in programs to reduce the number of infections acquired during hospital stays. While it is difficult to reduce infections to zero, following specific protocols can greatly reduce the risk.

The Hospital Report Card Act (Illinois Public Act 93-563) requires Illinois hospitals to report central line associated bloodstream infections (CLABSIs) as well as surgical site infections (SSIs). As of January 1, 2012, hospitals are also mandated to report Methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections and Clostridioides difficileinfections. Infections are reported through the CDC’s National Healthcare Safety Network (NHSN) surveillance system. The Standardized Infection Ratio (SIR), a summary measure used to determine whether infection data are statistically different from the national average, is presented for each type of infection shown below. Read more about healthcare-associated infections in Illinois. To learn more about the data collection methods using the CDC's National Health Safety Network (NHSN) surveillance system, read the Report Card methodology.

Clostridioides difficile infections (CDI) and Methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections

Facility-wide Healthcare Facility Onset Incidence Rates for CDI and MRSA are presented below. These rates are based on results of laboratory tests that were obtained on or after day four of an inpatient stay and do not consider presence or timing of clinical signs or symptoms. The Standardized Infection Ratio (SIR) is presented, which is a summary measure used to determine if rates of CDI and MRSA bloodstream infections are statistically different from the national average. Statewide summaries of CDI and MRSA data arranged by hospital are also included. Note: Starting with 2016 data, new methods for risk adjustment were used.

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
38	Exempt: No Licensed PICU Beds
39	Exempt: No Licensed NICU Beds
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
49	Complete Reporting: 20 or Fewer 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
169	Exempt: No Licensed ICU Beds

Central Line Associated Bloodstream Infections (CLABSIs)

Presented below are annual central line-associated bloodstream infections (CLABSIs) occurring in critical care units, also known as intensive care units (ICUs). ICU-specific summary data for CLABSI are provided using the Standardized Infection Ratio(SIR). Statewide summaries of CLABSI data arranged by ICU type 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
38	Exempt: No Licensed PICU Beds
39	Exempt: No Licensed NICU Beds
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
49	Complete Reporting: 20 or Fewer 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
169	Exempt: No Licensed ICU Beds

Adult CLABSI

Pediatric CLABSI

Ped. CLABSI Measure	Result	SIR
Pediatric Medical-Surgical ICU Q1 2019 - Q4 2019 Result N/A infections, N/A central-line days ¹⁶⁹ Rating SIR: N/A ¹⁶⁹	N/A infections, N/A central-line days ¹⁶⁹	N/A ¹⁶⁹
Description Central Line-associated Bloodstream Infection (CLABSI) data in the Medical-Surgical Pediatric ICU summarized as a Standardized Infection Ratio. Historical Data
Measure	Result	Rating
Q1 2018 - Q4 2018 Result N/A infections, N/A central-line days ¹⁶⁹ Rating SIR: N/A ¹⁶⁹	N/A infections, N/A central-line days ¹⁶⁹	N/A ¹⁶⁹
Q1 2017 - Q4 2017 Result N/A infections, N/A central-line days ¹⁶⁹ Rating SIR: N/A ¹⁶⁹	N/A infections, N/A central-line days ¹⁶⁹	N/A ¹⁶⁹
Q1 2016 - Q4 2016 Result N/A infections, N/A central-line days ³⁸ Rating SIR: N/A ³⁸	N/A infections, N/A central-line days ³⁸	N/A ³⁸
Q1 2015 - Q4 2015 Result N/A infections, N/A central-line days ³⁸ Rating SIR: N/A ³⁸	N/A infections, N/A central-line days ³⁸	N/A ³⁸
Q1 2014 - Q4 2014 Result N/A infections, N/A central-line days ³⁸ Rating SIR: N/A ³⁸	N/A infections, N/A central-line days ³⁸	N/A ³⁸
Q1 2013 - Q4 2013 Result N/A infections, N/A central-line days ³⁸ Rating SIR: N/A ³⁸	N/A infections, N/A central-line days ³⁸	N/A ³⁸
Q1 2012 - Q4 2012 Result N/A infections, N/A central-line days ³⁸ Rating SIR: N/A ³⁸	N/A infections, N/A central-line days ³⁸	N/A ³⁸
Q1 2011 - Q4 2011 Result N/A infections, N/A central-line days ³⁸ Rating SIR: N/A ³⁸	N/A infections, N/A central-line days ³⁸	N/A ³⁸
Q1 2010 - Q4 2010 Result N/A infections, N/A central-line days ³⁸ Rating SIR: N/A ³⁸	N/A infections, N/A central-line days ³⁸	N/A ³⁸
Q1 2010 - Q2 2010 Result N/A infections, N/A central-line days ³⁸ Rating SIR: 0.00 ³⁸	N/A infections, N/A central-line days ³⁸	0.00 ³⁸

NICU CLABSI

NICU CLABSI Measure	Result	SIR
Level III Neonatal ICU Q1 2019 - Q4 2019 Result N/A infections, N/A central-line days ¹⁶⁹ Rating SIR: N/A ¹⁶⁹	N/A infections, N/A central-line days ¹⁶⁹	N/A ¹⁶⁹
Description Central Line-associated Bloodstream Infection data in the Level III Neonatal ICU summarized as a Standardized Infection Ratio. Historical Data
Measure	Result	Rating
Q1 2018 - Q4 2018 Result N/A infections, N/A central-line days ¹⁶⁹ Rating SIR: N/A ¹⁶⁹	N/A infections, N/A central-line days ¹⁶⁹	N/A ¹⁶⁹
Q1 2017 - Q4 2017 Result N/A infections, N/A central-line days ¹⁶⁹ Rating SIR: N/A ¹⁶⁹	N/A infections, N/A central-line days ¹⁶⁹	N/A ¹⁶⁹
Q1 2016 - Q4 2016 Result N/A infections, N/A central-line days ³⁹ Rating SIR: N/A ³⁹	N/A infections, N/A central-line days ³⁹	N/A ³⁹
Q1 2015 - Q4 2015 Result N/A infections, N/A central-line days ³⁹ Rating SIR: N/A ³⁹	N/A infections, N/A central-line days ³⁹	N/A ³⁹
Q1 2014 - Q4 2014 Result N/A infections, N/A central-line days ³⁹ Rating SIR: N/A ³⁹	N/A infections, N/A central-line days ³⁹	N/A ³⁹
Q1 2013 - Q4 2013 Result N/A infections, N/A central-line days ³⁹ Rating SIR: N/A ³⁹	N/A infections, N/A central-line days ³⁹	N/A ³⁹
Q1 2012 - Q4 2012 Result N/A infections, N/A central-line days ³⁹ Rating SIR: N/A ³⁹	N/A infections, N/A central-line days ³⁹	N/A ³⁹
Q1 2011 - Q4 2011 Result N/A infections, N/A central-line days ³⁹ Rating SIR: N/A ³⁹	N/A infections, N/A central-line days ³⁹	N/A ³⁹
Q1 2010 - Q4 2010 Result N/A infections, N/A central-line days ³⁹ Rating SIR: N/A ³⁹	N/A infections, N/A central-line days ³⁹	N/A ³⁹
Q1 2010 - Q2 2010 Result N/A infections, N/A central-line days ³⁹ Rating SIR: 0.00 ³⁹	N/A infections, N/A central-line days ³⁹	0.00 ³⁹

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
38	Exempt: No Licensed PICU Beds
39	Exempt: No Licensed NICU Beds
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
49	Complete Reporting: 20 or Fewer 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
169	Exempt: No Licensed ICU Beds

Immunization Practices

Illinois hospitals are focusing their efforts on boosting immunization treatments and strengthening patient safety protocols. The objective is not merely achieving statistical success, but also enhancing the quality of care and patient well-being.

Data on immunization measures in Illinois hospitals is available through the Medicare comparison tool at medicare.gov/hospitalcompare. This tool provides valuable insights, allowing patients and their families to gauge the quality of care and safety practices at local hospitals, helping them make informed healthcare decisions.

In the realm of Patient Safety, a host of measures are assessed, with risk-adjusted rates available for each. These measures encompass various aspects of patient care and treatment outcomes. However, interpreting these metrics requires an understanding of the complexity and context-specific nature of healthcare.

Immunization

These indicators are used to measure immunization treatments at hospitals. This data comes from medicare.gov/hospitalcompare.

Measure	Result
Healthcare workers given influenza vaccination Q4 2017 - Q1 2018 Result 83.00 %	83.00 %
Description Influenza Vaccination Coverage among Healthcare Personnel

Measure

Healthcare workers given influenza vaccination

Q4 2017 - Q1 2018

Result: 83.00 %

Illinois Hospital Report Card

and Consumer Guide to Health Care

Vista Medical Center East

Patient Safety - All

Healthcare-Associated Infections

Clostridioides difficile infections (CDI) and Methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections

Statistical Significance

Footnotes

Description

Historical Data

Description

Historical Data

Central Line Associated Bloodstream Infections (CLABSIs)

Statistical Significance

Footnotes

Adult CLABSI

Description

Historical Data

Pediatric CLABSI

Description

Historical Data

NICU CLABSI

Description

Historical Data

Surgical Site Infections (SSIs)

Statistical Significance

Footnotes

Description

Historical Data

Description

Historical Data

Immunization Practices

Immunization

Description

Healthcare Facility Onset Incidence Rate	Result	SIR
Methicillin-resistant Staphylococcus aureus (MRSA) blood stream infections Q1 2023 - Q4 2023 Result 0 infections, 29939 patient days Rating SIR: 0.00	0 infections, 29939 patient days	0.00
Description Methicillin-resistant Staphylococcus aureus infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2022 - Q4 2022 Result 0 infections, 33500 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 33500 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2021 - Q4 2021 Result 3 infections, 36657 patient days Rating SIR: 1.85	3 infections, 36657 patient days	1.85
Q1 2020 - Q4 2020 Result 0 infections, 36253 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 36253 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2019 - Q4 2019 Result 1 infections, 37970 patient days Rating SIR: 0.61	1 infections, 37970 patient days	0.61
Q1 2018 - Q4 2018 Result 2 infections, 41152 patient days Rating SIR: 1.21	2 infections, 41152 patient days	1.21
Q1 2017 - Q4 2017 Result 2 infections, 41984 patient days Rating SIR: 1.34	2 infections, 41984 patient days	1.34
Q1 2016 - Q4 2016 Result 0 infections, 43167 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 43167 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2015 - Q4 2015 Result 4 infections, 42304 patient days Rating SIR: 2.02	4 infections, 42304 patient days	2.02
Q1 2014 - Q4 2014 Result 7 infections, 46841 patient days Rating SIR: 3.34	7 infections, 46841 patient days	3.34
Q1 2013 - Q4 2013 Result 6 infections, 45240 patient days Rating SIR: 2.41	6 infections, 45240 patient days	2.41
Q1 2012 - Q4 2012 Result 2 infections, 44519 patient days Rating SIR: 1.01	2 infections, 44519 patient days	1.01
Q1 2012 - Q2 2012 Result 2 infections, 22552 patient days Rating SIR: 0.89	2 infections, 22552 patient days	0.89
Clostridioides difficile infections (CDI) Q1 2023 - Q4 2023 Result 7 infections, 28151 patient days Rating SIR: 0.60	7 infections, 28151 patient days	0.60
Description Clostridium difficile infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2022 - Q4 2022 Result 5 infections, 31069 patient days Rating SIR: 0.38	5 infections, 31069 patient days	0.38
Q1 2021 - Q4 2021 Result 4 infections, 34122 patient days Rating SIR: 0.30	4 infections, 34122 patient days	0.30
Q1 2020 - Q4 2020 Result 3 infections, 33246 patient days Rating SIR: 0.22	3 infections, 33246 patient days	0.22
Q1 2019 - Q4 2019 Result 5 infections, 34475 patient days Rating SIR: 0.35	5 infections, 34475 patient days	0.35
Q1 2018 - Q4 2018 Result 21 infections, 37555 patient days Rating SIR: 0.72	21 infections, 37555 patient days	0.72
Q1 2017 - Q4 2017 Result 26 infections, 38788 patient days Rating SIR: 0.86	26 infections, 38788 patient days	0.86
Q1 2016 - Q4 2016 Result 18 infections, 40547 patient days Rating SIR: 0.70	18 infections, 40547 patient days	0.70
Q1 2015 - Q4 2015 Result 17 infections, 39370 patient days Rating SIR: 0.57	17 infections, 39370 patient days	0.57
Q1 2014 - Q4 2014 Result 28 infections, 43647 patient days Rating SIR: 1.10	28 infections, 43647 patient days	1.10
Q1 2013 - Q4 2013 Result 25 infections, 42246 patient days Rating SIR: 0.80	25 infections, 42246 patient days	0.80
Q1 2012 - Q4 2012 Result 31 infections, 41958 patient days Rating SIR: 0.93	31 infections, 41958 patient days	0.93

Adult CLABSI Measure	Result	SIR
Adult Medical/Surgical ICU Q1 2023 - Q4 2023 Result 1 infections, 2379 central-line days Rating SIR: 0.56	1 infections, 2379 central-line days	0.56
Description Central Line-associated Bloodstream Infection data in the Adult Medical/Surgical ICU summarized as a Standardized Infection Ratio. Historical Data
Measure	Result	Rating
Q1 2022 - Q4 2022 Result 1 infections, 2951 central-line days Rating SIR: 0.45	1 infections, 2951 central-line days	0.45
Q1 2021 - Q4 2021 Result 5 infections, 3102 central-line days Rating SIR: 2.14	5 infections, 3102 central-line days	2.14
Q1 2020 - Q4 2020 Result 3 infections, 3356 central-line days Rating SIR: 1.19	3 infections, 3356 central-line days	1.19
Q1 2019 - Q4 2019 Result 1 infections, 2781 central-line days Rating SIR: 0.48	1 infections, 2781 central-line days	0.48
Q1 2018 - Q4 2018 Result 1 infections, 3181 central-line days Rating SIR: 0.36	1 infections, 3181 central-line days	0.36
Q1 2017 - Q4 2017 Result 2 infections, 3027 central-line days Rating SIR: 0.76	2 infections, 3027 central-line days	0.76
Q1 2016 - Q4 2016 Result 2 infections, 2837 central-line days Rating SIR: 0.81	2 infections, 2837 central-line days	0.81
Q1 2015 - Q4 2015 Result 2 infections, 2853 central-line days Rating SIR: 0.47	2 infections, 2853 central-line days	0.47
Q1 2014 - Q4 2014 Result 3 infections, 3036 central-line days Rating SIR: 0.66	3 infections, 3036 central-line days	0.66
Q1 2013 - Q4 2013 Result 3 infections, 2830 central-line days Rating SIR: 0.71	3 infections, 2830 central-line days	0.71
Q1 2012 - Q4 2012 Result 2 infections, 2251 central-line days Rating SIR: 0.59	2 infections, 2251 central-line days	0.59
Q1 2011 - Q4 2011 Result 1 infections, 2321 central-line days Rating SIR: 0.29	1 infections, 2321 central-line days	0.29
Q1 2010 - Q4 2010 Result 4 infections, 2453 central-line days Rating SIR: 1.09	4 infections, 2453 central-line days	1.09
Q1 2009 - Q4 2009 Result 5 infections, 2545 central-line days Rating SIR: 1.31	5 infections, 2545 central-line days	1.31
Q1 2009 - Q2 2009 Result 4 infections, 1225 central-line days Rating SIR: 3.27	4 infections, 1225 central-line days	3.27

SSI Measure	Result	SIR
Total Knee Replacement Surgery Q1 2020 - Q4 2020 Result 0 infections, 45 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 45 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 0 infections, 96 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 96 procedures ¹⁵³	N/A ¹⁵³
Q1 2018 - Q4 2018 Result 0 infections, 110 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 110 procedures ¹⁵³	N/A ¹⁵³
Q1 2017 - Q4 2017 Result 0 infections, 146 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 146 procedures ¹⁵³	N/A ¹⁵³
Q1 2016 - Q4 2016 Result 0 infections, 162 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 162 procedures ¹⁵³	N/A ¹⁵³
Q1 2015 - Q4 2015 Result 1 infections, 117 procedures Rating SIR: 0.96	1 infections, 117 procedures	0.96
Q1 2014 - Q4 2014 Result 1 infections, 120 procedures Rating SIR: N/A	1 infections, 120 procedures	N/A
Q3 2013 - Q2 2014 Result 2 infections, 106 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	2 infections, 106 procedures ¹¹⁴	N/A ¹¹⁴
Q3 2012 - Q2 2013 Result 0 infections, 104 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 104 procedures ¹¹⁸	N/A ¹¹⁸
Q3 2011 - Q2 2012 Result 1 infections, 119 procedures ⁴⁷ Rating SIR: N/A ⁴⁷	1 infections, 119 procedures ⁴⁷	N/A ⁴⁷
Q3 2010 - Q2 2011 Result 0 infections, 145 procedures ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 145 procedures ⁴⁵	N/A ⁴⁵
Coronary Artery Bypass Graft Surgery Q1 2020 - Q4 2020 Result 0 infections, 9 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 9 procedures ⁴⁹	N/A ⁴⁹
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, 48 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 48 procedures ¹⁵³	N/A ¹⁵³
Q1 2018 - Q4 2018 Result 1 infections, 50 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 50 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2016 - Q4 2016 Result 1 infections, 45 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 45 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2015 - Q4 2015 Result 0 infections, 36 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 36 procedures ¹⁵³	N/A ¹⁵³
Q1 2014 - Q4 2014 Result 1 infections, 68 procedures Rating SIR: N/A	1 infections, 68 procedures	N/A
Q3 2013 - Q2 2014 Result 0 infections, 72 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 72 procedures ¹¹⁸	N/A ¹¹⁸
Q3 2012 - Q2 2013 Result 0 infections, 54 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 54 procedures ¹¹⁸	N/A ¹¹⁸
Q3 2011 - Q2 2012 Result 1 infections, 44 procedures ⁴⁷ Rating SIR: N/A ⁴⁷	1 infections, 44 procedures ⁴⁷	N/A ⁴⁷
Q3 2010 - Q2 2011 Result 1 infections, 46 procedures ⁴⁷ Rating SIR: N/A ⁴⁷	1 infections, 46 procedures ⁴⁷	N/A ⁴⁷