Illinois Hospital Report Card

and Consumer Guide to Health Care

UChicago Medicine AdventHealth GlenOaks

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

Key	Description
117	Complete Reporting: Zero infections. Number of reported events is not significantly different than predicted

Healthcare Facility Onset Incidence Rate	Result	SIR
Methicillin-resistant Staphylococcus aureus (MRSA) blood stream infections Q1 2024 - Q4 2024 Result 1 infections, 12687 patient days Rating SIR: N/A	1 infections, 12687 patient days	N/A
Description Methicillin-resistant Staphylococcus aureus infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2023 - Q4 2023 Result 0 infections, 24792 patient days Rating SIR: 0.00	0 infections, 24792 patient days	0.00
Q1 2022 - Q4 2022 Result 0 infections, 24747 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 24747 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2021 - Q4 2021 Result 0 infections, 24990 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 24990 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2020 - Q4 2020 Result 0 infections, 24328 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 24328 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2019 - Q4 2019 Result 1 infections, 26382 patient days Rating SIR: 0.96	1 infections, 26382 patient days	0.96
Q1 2018 - Q4 2018 Result 0 infections, 25184 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 25184 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2017 - Q4 2017 Result 0 infections, 26871 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 26871 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2016 - Q4 2016 Result 0 infections, 27008 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 27008 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2015 - Q4 2015 Result 0 infections, 24910 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 24910 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2014 - Q4 2014 Result 0 infections, 28655 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 28655 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2013 - Q4 2013 Result 2 infections, 30145 patient days Rating SIR: 1.40	2 infections, 30145 patient days	1.40
Q1 2012 - Q4 2012 Result 1 infections, 29926 patient days Rating SIR: 0.47	1 infections, 29926 patient days	0.47
Q1 2012 - Q2 2012 Result 1 infections, 15502 patient days Rating SIR: 0.65	1 infections, 15502 patient days	0.65
Clostridioides difficile infections (CDI) Q1 2024 - Q4 2024 Result 4 infections, 12687 patient days Rating SIR: 0.82	4 infections, 12687 patient days	0.82
Description Clostridium difficile infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2023 - Q4 2023 Result 3 infections, 24170 patient days Rating SIR: 0.33	3 infections, 24170 patient days	0.33
Q1 2022 - Q4 2022 Result 6 infections, 24219 patient days Rating SIR: 0.67	6 infections, 24219 patient days	0.67
Q1 2021 - Q4 2021 Result 4 infections, 24499 patient days Rating SIR: 0.32	4 infections, 24499 patient days	0.32
Q1 2020 - Q4 2020 Result 9 infections, 23752 patient days Rating SIR: 0.78	9 infections, 23752 patient days	0.78
Q1 2019 - Q4 2019 Result 4 infections, 25708 patient days Rating SIR: 0.32	4 infections, 25708 patient days	0.32
Q1 2018 - Q4 2018 Result 6 infections, 24453 patient days Rating SIR: 0.40	6 infections, 24453 patient days	0.40
Q1 2017 - Q4 2017 Result 6 infections, 26254 patient days Rating SIR: 0.40	6 infections, 26254 patient days	0.40
Q1 2016 - Q4 2016 Result 7 infections, 26370 patient days Rating SIR: 0.44	7 infections, 26370 patient days	0.44
Q1 2015 - Q4 2015 Result 6 infections, 24207 patient days Rating SIR: 0.36	6 infections, 24207 patient days	0.36
Q1 2014 - Q4 2014 Result 13 infections, 27970 patient days Rating SIR: 0.68	13 infections, 27970 patient days	0.68
Q1 2013 - Q4 2013 Result 11 infections, 29663 patient days Rating SIR: 0.55	11 infections, 29663 patient days	0.55
Q1 2012 - Q4 2012 Result 16 infections, 29926 patient days Rating SIR: 0.78	16 infections, 29926 patient days	0.78