Illinois Hospital Report Card

and Consumer Guide to Health Care

Gateway Regional Medical Center

Patient Safety - CDI & MRSA

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
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
154	Complete Reporting: Number of predicted events too low to calculate a precise SIR

Healthcare Facility Onset Incidence Rate	Result	SIR
Methicillin-resistant Staphylococcus aureus (MRSA) blood stream infections Q1 2023 - Q4 2023 Result 3 infections, 16019 patient days Rating SIR: N/A	3 infections, 16019 patient days	N/A
Description Methicillin-resistant Staphylococcus aureus infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2022 - Q4 2022 Result 4 infections, 16627 patient days ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	4 infections, 16627 patient days ¹⁵⁴	N/A ¹⁵⁴
Q1 2021 - Q4 2021 Result 0 infections, 22156 patient days ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 22156 patient days ¹¹⁸	N/A ¹¹⁸
Q1 2020 - Q4 2020 Result 3 infections, 19426 patient days ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	3 infections, 19426 patient days ¹⁵⁴	N/A ¹⁵⁴
Q1 2019 - Q4 2019 Result 1 infections, 27476 patient days Rating SIR: 0.91	1 infections, 27476 patient days	0.91
Q1 2018 - Q4 2018 Result 0 infections, 29432 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 29432 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2017 - Q4 2017 Result 0 infections, 30913 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 30913 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2016 - Q4 2016 Result 1 infections, 32249 patient days Rating SIR: 0.94	1 infections, 32249 patient days	0.94
Q1 2015 - Q4 2015 Result 1 infections, 22014 patient days ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 22014 patient days ¹¹⁴	N/A ¹¹⁴
Q1 2014 - Q4 2014 Result 2 infections, 36330 patient days Rating SIR: 1.17	2 infections, 36330 patient days	1.17
Q1 2013 - Q4 2013 Result 1 infections, 36250 patient days Rating SIR: 0.72	1 infections, 36250 patient days	0.72
Q1 2012 - Q4 2012 Result 1 infections, 39601 patient days Rating SIR: 0.67	1 infections, 39601 patient days	0.67
Q1 2012 - Q2 2012 Result 1 infections, 20331 patient days Rating SIR: 0.49	1 infections, 20331 patient days	0.49
Clostridioides difficile infections (CDI) Q1 2023 - Q4 2023 Result 4 infections, 16019 patient days Rating SIR: 0.43	4 infections, 16019 patient days	0.43
Description Clostridium difficile infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2022 - Q4 2022 Result 8 infections, 16627 patient days Rating SIR: 0.92	8 infections, 16627 patient days	0.92
Q1 2021 - Q4 2021 Result 7 infections, 22156 patient days Rating SIR: 0.63	7 infections, 22156 patient days	0.63
Q1 2020 - Q4 2020 Result 5 infections, 19355 patient days Rating SIR: 0.47	5 infections, 19355 patient days	0.47
Q1 2019 - Q4 2019 Result 13 infections, 26972 patient days Rating SIR: 0.88	13 infections, 26972 patient days	0.88
Q1 2018 - Q4 2018 Result 6 infections, 28876 patient days Rating SIR: 0.41	6 infections, 28876 patient days	0.41
Q1 2017 - Q4 2017 Result 4 infections, 30426 patient days Rating SIR: 0.25	4 infections, 30426 patient days	0.25
Q1 2016 - Q4 2016 Result 8 infections, 31643 patient days Rating SIR: 0.45	8 infections, 31643 patient days	0.45
Q1 2015 - Q4 2015 Result 4 infections, 21410 patient days Rating SIR: 0.27	4 infections, 21410 patient days	0.27
Q1 2014 - Q4 2014 Result 7 infections, 35685 patient days Rating SIR: 0.47	7 infections, 35685 patient days	0.47
Q1 2013 - Q4 2013 Result 11 infections, 33710 patient days Rating SIR: 0.51	11 infections, 33710 patient days	0.51
Q1 2012 - Q4 2012 Result 6 infections, 39001 patient days Rating SIR: 0.31	6 infections, 39001 patient days	0.31