Illinois Hospital Report Card

and Consumer Guide to Health Care

St. Margaret's Health - Spring Valley

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
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
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
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 2022 - Q4 2022 Result 1 infections, 5437 patient days ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 5437 patient days ¹⁵⁴	N/A ¹⁵⁴
Description Methicillin-resistant Staphylococcus aureus infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2021 - Q4 2021 Result 0 infections, 5763 patient days ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 5763 patient days ¹¹⁸	N/A ¹¹⁸
Q1 2020 - Q4 2020 Result 0 infections, 6123 patient days ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 6123 patient days ¹¹⁸	N/A ¹¹⁸
Q1 2019 - Q4 2019 Result 2 infections, 7240 patient days ⁴⁷ Rating SIR: N/A ⁴⁷	2 infections, 7240 patient days ⁴⁷	N/A ⁴⁷
Q1 2018 - Q4 2018 Result 0 infections, 6968 patient days ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 6968 patient days ⁴⁵	N/A ⁴⁵
Q1 2017 - Q4 2017 Result 0 infections, 7160 patient days ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 7160 patient days ⁴⁵	N/A ⁴⁵
Q1 2016 - Q4 2016 Result 1 infections, 6839 patient days ⁴⁷ Rating SIR: N/A ⁴⁷	1 infections, 6839 patient days ⁴⁷	N/A ⁴⁷
Q1 2015 - Q4 2015 Result 1 infections, 6374 patient days ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 6374 patient days ¹¹⁴	N/A ¹¹⁴
Q1 2014 - Q4 2014 Result 0 infections, 7233 patient days ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 7233 patient days ⁴⁵	N/A ⁴⁵
Q1 2013 - Q4 2013 Result 0 infections, 7558 patient days ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 7558 patient days ¹¹⁸	N/A ¹¹⁸
Q1 2012 - Q4 2012 Result 0 infections, 8349 patient days ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 8349 patient days ¹¹⁸	N/A ¹¹⁸
Q1 2012 - Q2 2012 Result 0 infections, 4808 patient days Rating SIR: 0.00	0 infections, 4808 patient days	0.00
Clostridioides difficile infections (CDI) Q1 2022 - Q4 2022 Result 6 infections, 5369 patient days Rating SIR: 1.25	6 infections, 5369 patient days	1.25
Description Clostridium difficile infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2021 - Q4 2021 Result 5 infections, 5340 patient days Rating SIR: 1.61	5 infections, 5340 patient days	1.61
Q1 2020 - Q4 2020 Result 2 infections, 5687 patient days Rating SIR: 0.83	2 infections, 5687 patient days	0.83
Q1 2019 - Q4 2019 Result 4 infections, 6656 patient days Rating SIR: 1.15	4 infections, 6656 patient days	1.15
Q1 2018 - Q4 2018 Result 6 infections, 6329 patient days Rating SIR: 1.51	6 infections, 6329 patient days	1.51
Q1 2017 - Q4 2017 Result 8 infections, 6490 patient days Rating SIR: 1.10	8 infections, 6490 patient days	1.10
Q1 2016 - Q4 2016 Result 6 infections, 6158 patient days Rating SIR: 1.05	6 infections, 6158 patient days	1.05
Q1 2015 - Q4 2015 Result 5 infections, 5923 patient days Rating SIR: 1.13	5 infections, 5923 patient days	1.13
Q1 2014 - Q4 2014 Result 7 infections, 6595 patient days Rating SIR: 1.57	7 infections, 6595 patient days	1.57
Q1 2013 - Q4 2013 Result 5 infections, 7016 patient days Rating SIR: 1.76	5 infections, 7016 patient days	1.76
Q1 2012 - Q4 2012 Result 2 infections, 7795 patient days Rating SIR: 0.64	2 infections, 7795 patient days	0.64