Illinois Hospital Report Card

and Consumer Guide to Health Care

Ascension Alexian Brothers

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
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
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 0 infections, 32 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 32 procedures ¹¹⁸	N/A ¹¹⁸
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, 161 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 161 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2022 - Q4 2022 Result 0 infections, 262 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 262 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2021 - Q4 2021 Result 1 infections, 248 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 248 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2020 - Q4 2020 Result 1 infections, 198 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 198 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2019 - Q4 2019 Result 0 infections, 373 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 373 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2018 - Q4 2018 Result 0 infections, 476 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 476 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2017 - Q4 2017 Result 0 infections, 524 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 524 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2016 - Q4 2016 Result 0 infections, 475 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 475 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2015 - Q4 2015 Result 1 infections, 395 procedures Rating SIR: 0.45	1 infections, 395 procedures	0.45
Q1 2014 - Q4 2014 Result 1 infections, 442 procedures Rating SIR: 0.38	1 infections, 442 procedures	0.38
Q3 2013 - Q2 2014 Result 2 infections, 489 procedures Rating SIR: 0.67	2 infections, 489 procedures	0.67
Q3 2012 - Q2 2013 Result 0 infections, 468 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 468 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 3 infections, 448 procedures Rating SIR: 0.98	3 infections, 448 procedures	0.98
Q3 2010 - Q2 2011 Result 2 infections, 502 procedures Rating SIR: 0.59	2 infections, 502 procedures	0.59
Coronary Artery Bypass Graft Surgery Q1 2024 - Q4 2024 Result 1 infections, 48 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 48 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 2023 - Q4 2023 Result 1 infections, 179 procedures Rating SIR: 0.72	1 infections, 179 procedures	0.72
Q1 2022 - Q4 2022 Result 0 infections, 193 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 193 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2021 - Q4 2021 Result 1 infections, 185 procedures Rating SIR: 0.57	1 infections, 185 procedures	0.57
Q1 2020 - Q4 2020 Result 2 infections, 171 procedures Rating SIR: 1.44	2 infections, 171 procedures	1.44
Q1 2019 - Q4 2019 Result 0 infections, 220 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 220 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2018 - Q4 2018 Result 1 infections, 178 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 178 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2016 - Q4 2016 Result 0 infections, 220 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 220 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2015 - Q4 2015 Result 0 infections, 206 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 206 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2014 - Q4 2014 Result 2 infections, 201 procedures Rating SIR: 0.98	2 infections, 201 procedures	0.98
Q3 2013 - Q2 2014 Result 0 infections, 158 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 158 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2012 - Q2 2013 Result 0 infections, 117 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 117 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 1 infections, 118 procedures Rating SIR: 0.70	1 infections, 118 procedures	0.70
Q3 2010 - Q2 2011 Result 1 infections, 118 procedures Rating SIR: 0.69	1 infections, 118 procedures	0.69