Illinois Hospital Report Card

and Consumer Guide to Health Care

Mercy 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
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

SSI Measure	Result	SIR
Total Knee Replacement Surgery Q1 2024 - Q4 2024 Result 0 infections, 3 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 3 procedures ⁴⁹	N/A ⁴⁹
Download Data 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 0 infections, 15 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 15 procedures ⁴⁹	N/A ⁴⁹
Q1 2022 - Q4 2022 Result 0 infections, 8 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 8 procedures ⁴⁹	N/A ⁴⁹
Q1 2021 - Q4 2021 Result 0 infections, 13 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 13 procedures ⁴⁹	N/A ⁴⁹
Q1 2020 - Q4 2020 Result 0 infections, 19 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 19 procedures ⁴⁹	N/A ⁴⁹
Q1 2019 - Q4 2019 Result 0 infections, 42 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 42 procedures ¹⁵³	N/A ¹⁵³
Q1 2018 - Q4 2018 Result 0 infections, 51 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 51 procedures ¹⁵³	N/A ¹⁵³
Q1 2017 - Q4 2017 Result 0 infections, 48 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 48 procedures ¹⁵³	N/A ¹⁵³
Q1 2016 - Q4 2016 Result 0 infections, 63 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 63 procedures ¹⁵³	N/A ¹⁵³
Q1 2015 - Q4 2015 Result 0 infections, 63 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 63 procedures ¹⁵³	N/A ¹⁵³
Q1 2014 - Q4 2014 Result 0 infections, 93 procedures Rating SIR: N/A	0 infections, 93 procedures	N/A
Q3 2013 - Q2 2014 Result 1 infections, 113 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 113 procedures ¹¹⁴	N/A ¹¹⁴
Q3 2012 - Q2 2013 Result 0 infections, 121 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 121 procedures ¹¹⁸	N/A ¹¹⁸
Q3 2011 - Q2 2012 Result 1 infections, 132 procedures ⁴⁷ Rating SIR: N/A ⁴⁷	1 infections, 132 procedures ⁴⁷	N/A ⁴⁷
Q3 2010 - Q2 2011 Result 1 infections, 151 procedures ⁴⁷ Rating SIR: N/A ⁴⁷	1 infections, 151 procedures ⁴⁷	N/A ⁴⁷
Coronary Artery Bypass Graft Surgery Q1 2023 - Q4 2023 Result 0 infections, 18 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 18 procedures ⁴⁹	N/A ⁴⁹
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 2022 - Q4 2022 Result 0 infections, 35 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 35 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2021 - Q4 2021 Result 0 infections, 39 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 39 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2020 - Q4 2020 Result 0 infections, 73 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 73 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2019 - Q4 2019 Result 1 infections, 81 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 81 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2018 - Q4 2018 Result 2 infections, 107 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	2 infections, 107 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2016 - Q4 2016 Result 0 infections, 93 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 93 procedures ¹⁵³	N/A ¹⁵³
Q1 2015 - Q4 2015 Result 2 infections, 122 procedures Rating SIR: 1.38	2 infections, 122 procedures	1.38
Q1 2014 - Q4 2014 Result 0 infections, 127 procedures Rating SIR: 0.00	0 infections, 127 procedures	0.00
Q3 2013 - Q2 2014 Result 0 infections, 138 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 138 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2012 - Q2 2013 Result 2 infections, 124 procedures Rating SIR: 1.41	2 infections, 124 procedures	1.41
Q3 2011 - Q2 2012 Result 1 infections, 135 procedures ⁴⁶ Rating SIR: 0.65 ⁴⁶	1 infections, 135 procedures ⁴⁶	0.65 ⁴⁶
Q3 2010 - Q2 2011 Result 0 infections, 138 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 138 procedures ⁴⁶	0.00 ⁴⁶