Illinois Hospital Report Card

and Consumer Guide to Health Care

Memorial Hospital Belleville

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
48	No Target Procedures Performed
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
154	Complete Reporting: Number of predicted events too low to calculate a precise SIR

SSI Measure	Result	SIR
Total Knee Replacement Surgery Q1 2025 - Q4 2025 Result 5 infections, 667 procedures Rating SIR: 3.16	5 infections, 667 procedures	3.16
Description Surgical Site Infections Associated with Total Knee Replacement Surgery Summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2024 - Q4 2024 Result 3 infections, 626 procedures Rating SIR: 1.89	3 infections, 626 procedures	1.89
Q1 2023 - Q4 2023 Result 3 infections, 555 procedures Rating SIR: 1.83	3 infections, 555 procedures	1.83
Q1 2022 - Q4 2022 Result 2 infections, 485 procedures Rating SIR: 1.41	2 infections, 485 procedures	1.41
Q1 2021 - Q4 2021 Result 2 infections, 457 procedures Rating SIR: 1.41	2 infections, 457 procedures	1.41
Q1 2020 - Q4 2020 Result 1 infections, 236 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 236 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2019 - Q4 2019 Result 2 infections, 501 procedures Rating SIR: 1.33	2 infections, 501 procedures	1.33
Q1 2018 - Q4 2018 Result 2 infections, 516 procedures Rating SIR: 1.31	2 infections, 516 procedures	1.31
Q1 2017 - Q4 2017 Result 1 infections, 474 procedures Rating SIR: 0.74	1 infections, 474 procedures	0.74
Q1 2016 - Q4 2016 Result 2 infections, 485 procedures Rating SIR: 1.38	2 infections, 485 procedures	1.38
Q1 2015 - Q4 2015 Result 0 infections, 449 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 449 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2014 - Q4 2014 Result 0 infections, 418 procedures Rating SIR: 0.00	0 infections, 418 procedures	0.00
Q3 2013 - Q2 2014 Result 0 infections, 398 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 398 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2012 - Q2 2013 Result 0 infections, 17 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 17 procedures ⁴⁹	N/A ⁴⁹
Q3 2011 - Q2 2012 Result 0 infections, 357 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 357 procedures ⁴⁶	0.00 ⁴⁶
Q3 2010 - Q2 2011 Result 0 infections, 329 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 329 procedures ⁴⁶	0.00 ⁴⁶
Coronary Artery Bypass Graft Surgery Q1 2025 - Q4 2025 Result 1 infections, 118 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 118 procedures ¹⁵⁴	N/A ¹⁵⁴
Description Surgical Site Infections Associated with Coronary Artery Bypass Graft Surgery Summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2024 - Q4 2024 Result 1 infections, 108 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 108 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2023 - Q4 2023 Result 0 infections, 61 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 61 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2022 - Q4 2022 Result 1 infections, 94 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 94 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2021 - Q4 2021 Result 1 infections, 120 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 120 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2020 - Q4 2020 Result 2 infections, 67 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	2 infections, 67 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2019 - Q4 2019 Result 0 infections, 133 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 133 procedures ¹⁵³	N/A ¹⁵³
Q1 2018 - Q4 2018 Result 1 infections, 140 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 140 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2016 - Q4 2016 Result 0 infections, 135 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 135 procedures ¹⁵³	N/A ¹⁵³
Q1 2015 - Q4 2015 Result 3 infections, 146 procedures Rating SIR: 1.62	3 infections, 146 procedures	1.62
Q1 2014 - Q4 2014 Result 0 infections, 143 procedures Rating SIR: 0.00	0 infections, 143 procedures	0.00
Q3 2013 - Q2 2014 Result 0 infections, 141 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 141 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2012 - Q2 2013 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q3 2011 - Q2 2012 Result 3 infections, 154 procedures Rating SIR: 1.27	3 infections, 154 procedures	1.27
Q3 2010 - Q2 2011 Result 0 infections, 135 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 135 procedures ⁴⁶	0.00 ⁴⁶