Illinois Hospital Report Card

and Consumer Guide to Health Care

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

SSI Measure	Result	SIR
Total Knee Replacement Surgery Q1 2024 - Q4 2024 Result 2 infections, 318 procedures Rating SIR: 1.61	2 infections, 318 procedures	1.61
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 1 infections, 266 procedures Rating SIR: 0.95	1 infections, 266 procedures	0.95
Q1 2022 - Q4 2022 Result 2 infections, 224 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	2 infections, 224 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2021 - Q4 2021 Result 2 infections, 226 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	2 infections, 226 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2020 - Q4 2020 Result 2 infections, 184 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	2 infections, 184 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2019 - Q4 2019 Result 3 infections, 308 procedures Rating SIR: 2.22	3 infections, 308 procedures	2.22
Q1 2018 - Q4 2018 Result 2 infections, 296 procedures Rating SIR: 1.49	2 infections, 296 procedures	1.49
Q1 2017 - Q4 2017 Result 0 infections, 260 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 260 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2016 - Q4 2016 Result 0 infections, 267 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 267 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2015 - Q4 2015 Result 1 infections, 219 procedures Rating SIR: 0.59	1 infections, 219 procedures	0.59
Q1 2014 - Q4 2014 Result 0 infections, 202 procedures Rating SIR: 0.00	0 infections, 202 procedures	0.00
Q3 2013 - Q2 2014 Result 2 infections, 209 procedures Rating SIR: 1.22	2 infections, 209 procedures	1.22
Q3 2012 - Q2 2013 Result 0 infections, 209 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 209 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 3 infections, 211 procedures Rating SIR: 2.15	3 infections, 211 procedures	2.15
Q3 2010 - Q2 2011 Result 0 infections, 164 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 164 procedures ⁴⁶	0.00 ⁴⁶
Coronary Artery Bypass Graft Surgery Q1 2024 - Q4 2024 Result 0 infections, 82 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 82 procedures ¹¹⁸	N/A ¹¹⁸
Description Surgical Site Infections Associated with Coronary Artery Bypass Graft Surgery Summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2023 - Q4 2023 Result 0 infections, 76 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 76 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2022 - Q4 2022 Result 1 infections, 72 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 72 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2021 - Q4 2021 Result 0 infections, 94 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 94 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2020 - Q4 2020 Result 1 infections, 71 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 71 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2019 - Q4 2019 Result 0 infections, 82 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 82 procedures ¹⁵³	N/A ¹⁵³
Q1 2018 - Q4 2018 Result 0 infections, 78 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 78 procedures ¹⁵³	N/A ¹⁵³
Q1 2016 - Q4 2016 Result 1 infections, 85 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 85 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2015 - Q4 2015 Result 1 infections, 76 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 76 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2014 - Q4 2014 Result 0 infections, 58 procedures Rating SIR: N/A	0 infections, 58 procedures	N/A
Q3 2013 - Q2 2014 Result 0 infections, 69 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 69 procedures ¹¹⁸	N/A ¹¹⁸
Q3 2012 - Q2 2013 Result 1 infections, 66 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 66 procedures ¹¹⁴	N/A ¹¹⁴
Q3 2011 - Q2 2012 Result 1 infections, 65 procedures ⁴⁷ Rating SIR: N/A ⁴⁷	1 infections, 65 procedures ⁴⁷	N/A ⁴⁷
Q3 2010 - Q2 2011 Result 3 infections, 68 procedures ⁴⁷ Rating SIR: N/A ⁴⁷	3 infections, 68 procedures ⁴⁷	N/A ⁴⁷