Illinois Hospital Report Card

and Consumer Guide to Health Care

Endeavor Northwest Community Hospital

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 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

Healthcare Facility Onset Incidence Rate	Result	SIR
Methicillin-resistant Staphylococcus aureus (MRSA) blood stream infections Q1 2024 - Q4 2024 Result 2 infections, 95976 patient days Rating SIR: 0.43	2 infections, 95976 patient days	0.43
Description Methicillin-resistant Staphylococcus aureus infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2023 - Q4 2023 Result 2 infections, 94159 patient days Rating SIR: 0.44	2 infections, 94159 patient days	0.44
Q1 2022 - Q4 2022 Result 4 infections, 92515 patient days Rating SIR: 1.22	4 infections, 92515 patient days	1.22
Q1 2021 - Q4 2021 Result 4 infections, 88858 patient days Rating SIR: 1.02	4 infections, 88858 patient days	1.02
Q1 2020 - Q4 2020 Result 7 infections, 83600 patient days Rating SIR: 1.90	7 infections, 83600 patient days	1.90
Q1 2019 - Q4 2019 Result 5 infections, 90245 patient days Rating SIR: 1.41	5 infections, 90245 patient days	1.41
Q1 2018 - Q4 2018 Result 3 infections, 89503 patient days Rating SIR: 0.91	3 infections, 89503 patient days	0.91
Q1 2017 - Q4 2017 Result 1 infections, 85738 patient days Rating SIR: 0.30	1 infections, 85738 patient days	0.30
Q1 2016 - Q4 2016 Result 3 infections, 81422 patient days Rating SIR: 1.00	3 infections, 81422 patient days	1.00
Q1 2015 - Q4 2015 Result 4 infections, 89759 patient days Rating SIR: 1.03	4 infections, 89759 patient days	1.03
Q1 2014 - Q4 2014 Result 3 infections, 100620 patient days Rating SIR: 0.44	3 infections, 100620 patient days	0.44
Q1 2013 - Q4 2013 Result 4 infections, 93871 patient days Rating SIR: 0.98	4 infections, 93871 patient days	0.98
Q1 2012 - Q4 2012 Result 6 infections, 98092 patient days Rating SIR: 0.94	6 infections, 98092 patient days	0.94
Q1 2012 - Q2 2012 Result 4 infections, 49493 patient days Rating SIR: 0.81	4 infections, 49493 patient days	0.81
Clostridioides difficile infections (CDI) Q1 2024 - Q4 2024 Result 11 infections, 89529 patient days Rating SIR: 0.26	11 infections, 89529 patient days	0.26
Description Clostridium difficile infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2023 - Q4 2023 Result 12 infections, 86682 patient days Rating SIR: 0.29	12 infections, 86682 patient days	0.29
Q1 2022 - Q4 2022 Result 15 infections, 84904 patient days Rating SIR: 0.40	15 infections, 84904 patient days	0.40
Q1 2021 - Q4 2021 Result 14 infections, 80841 patient days Rating SIR: 0.37	14 infections, 80841 patient days	0.37
Q1 2020 - Q4 2020 Result 21 infections, 75352 patient days Rating SIR: 0.63	21 infections, 75352 patient days	0.63
Q1 2019 - Q4 2019 Result 37 infections, 81852 patient days Rating SIR: 0.73	37 infections, 81852 patient days	0.73
Q1 2018 - Q4 2018 Result 58 infections, 80611 patient days Rating SIR: 1.00	58 infections, 80611 patient days	1.00
Q1 2017 - Q4 2017 Result 99 infections, 77232 patient days Rating SIR: 1.74	99 infections, 77232 patient days	1.74
Q1 2016 - Q4 2016 Result 78 infections, 72789 patient days Rating SIR: 1.47	78 infections, 72789 patient days	1.47
Q1 2015 - Q4 2015 Result 81 infections, 81906 patient days Rating SIR: 1.13	81 infections, 81906 patient days	1.13
Q1 2014 - Q4 2014 Result 82 infections, 91045 patient days Rating SIR: 1.14	82 infections, 91045 patient days	1.14
Q1 2013 - Q4 2013 Result 66 infections, 87122 patient days Rating SIR: 0.96	66 infections, 87122 patient days	0.96
Q1 2012 - Q4 2012 Result 89 infections, 88660 patient days Rating SIR: 1.23	89 infections, 88660 patient days	1.23