Illinois Hospital Report Card

and Consumer Guide to Health Care

Ascension Saint Alexius

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
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

SSI Measure	Result	SIR
Total Knee Replacement Surgery Q1 2025 - Q4 2025 Result 5 infections, 676 procedures Rating SIR: 1.80	5 infections, 676 procedures	1.80
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 0 infections, 169 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 169 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2023 - Q4 2023 Result 3 infections, 745 procedures Rating SIR: 1.13	3 infections, 745 procedures	1.13
Q1 2022 - Q4 2022 Result 5 infections, 544 procedures Rating SIR: 2.71	5 infections, 544 procedures	2.71
Q1 2021 - Q4 2021 Result 1 infections, 496 procedures Rating SIR: 0.57	1 infections, 496 procedures	0.57
Q1 2020 - Q4 2020 Result 1 infections, 434 procedures Rating SIR: 0.60	1 infections, 434 procedures	0.60
Q1 2019 - Q4 2019 Result 1 infections, 583 procedures Rating SIR: 0.49	1 infections, 583 procedures	0.49
Q1 2018 - Q4 2018 Result 1 infections, 499 procedures Rating SIR: 0.58	1 infections, 499 procedures	0.58
Q1 2017 - Q4 2017 Result 1 infections, 472 procedures Rating SIR: 0.60	1 infections, 472 procedures	0.60
Q1 2016 - Q4 2016 Result 1 infections, 457 procedures Rating SIR: 0.67	1 infections, 457 procedures	0.67
Q1 2015 - Q4 2015 Result 0 infections, 408 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 408 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2014 - Q4 2014 Result 1 infections, 383 procedures Rating SIR: 0.43	1 infections, 383 procedures	0.43
Q3 2013 - Q2 2014 Result 2 infections, 383 procedures Rating SIR: 0.87	2 infections, 383 procedures	0.87
Q3 2012 - Q2 2013 Result 2 infections, 375 procedures Rating SIR: 0.90	2 infections, 375 procedures	0.90
Q3 2011 - Q2 2012 Result 0 infections, 313 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 313 procedures ⁴⁶	0.00 ⁴⁶
Q3 2010 - Q2 2011 Result 0 infections, 318 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 318 procedures ⁴⁶	0.00 ⁴⁶
Coronary Artery Bypass Graft Surgery Q1 2024 - Q4 2024 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Description Surgical Site Infections Associated with Coronary Artery Bypass Graft Surgery Summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2020 - Q4 2020 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q1 2019 - Q4 2019 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q1 2018 - Q4 2018 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q1 2016 - Q4 2016 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q1 2015 - Q4 2015 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q1 2014 - Q4 2014 Result N/A infections, N/A procedures Rating SIR: N/A	N/A infections, N/A procedures	N/A
Q3 2013 - Q2 2014 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
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 N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q3 2010 - Q2 2011 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸