Illinois Hospital Report Card

and Consumer Guide to Health Care

Kirby Medical Center

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
36	Incomplete Reporting
45	Complete Reporting: Zero infections. Number of predicted LabID events too low to calculate a precise SIR
47	Complete Reporting: Number of predicted LabID events too low to calculate a precise SIR
113	Facility not yet enrolled
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

Healthcare Facility Onset Incidence Rate	Result	SIR
Methicillin-resistant Staphylococcus aureus (MRSA) blood stream infections Q1 2024 - Q4 2024 Result 0 infections, 1676 patient days Rating SIR: N/A	0 infections, 1676 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, 1822 patient days Rating SIR: N/A	0 infections, 1822 patient days	N/A
Q1 2022 - Q4 2022 Result 0 infections, 1938 patient days ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 1938 patient days ¹¹⁸	N/A ¹¹⁸
Q1 2021 - Q4 2021 Result 0 infections, 1768 patient days ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 1768 patient days ¹¹⁸	N/A ¹¹⁸
Q1 2020 - Q4 2020 Result 0 infections, 1697 patient days ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 1697 patient days ¹¹⁸	N/A ¹¹⁸
Q1 2019 - Q4 2019 Result 0 infections, 1801 patient days ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 1801 patient days ⁴⁵	N/A ⁴⁵
Q1 2018 - Q4 2018 Result 0 infections, 1543 patient days ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 1543 patient days ⁴⁵	N/A ⁴⁵
Q1 2017 - Q4 2017 Result 0 infections, 1869 patient days ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 1869 patient days ⁴⁵	N/A ⁴⁵
Q1 2016 - Q4 2016 Result 0 infections, 2440 patient days ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 2440 patient days ⁴⁵	N/A ⁴⁵
Q1 2015 - Q4 2015 Result 0 infections, 1999 patient days ⁴⁷ Rating SIR: N/A ⁴⁷	0 infections, 1999 patient days ⁴⁷	N/A ⁴⁷
Q1 2014 - Q4 2014 Result 0 infections, 2199 patient days ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 2199 patient days ⁴⁵	N/A ⁴⁵
Q1 2013 - Q4 2013 Result 0 infections, 1830 patient days ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 1830 patient days ¹¹⁸	N/A ¹¹⁸
Q1 2012 - Q4 2012 Result N/A infections, N/A patient days ¹¹³ Rating SIR: N/A ¹¹³	N/A infections, N/A patient days ¹¹³	N/A ¹¹³
Q1 2012 - Q2 2012 Result N/A infections, N/A patient days ³⁶ Rating SIR: N/A ³⁶	N/A infections, N/A patient days ³⁶	N/A ³⁶
Clostridioides difficile infections (CDI) Q1 2024 - Q4 2024 Result 1 infections, 1676 patient days Rating SIR: N/A	1 infections, 1676 patient days	N/A
Description Clostridium difficile infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2023 - Q4 2023 Result 2 infections, 1822 patient days Rating SIR: N/A	2 infections, 1822 patient days	N/A
Q1 2022 - Q4 2022 Result 0 infections, 1938 patient days ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 1938 patient days ¹¹⁸	N/A ¹¹⁸
Q1 2021 - Q4 2021 Result 0 infections, 1768 patient days ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 1768 patient days ¹¹⁸	N/A ¹¹⁸
Q1 2020 - Q4 2020 Result 0 infections, 1697 patient days ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 1697 patient days ¹¹⁸	N/A ¹¹⁸
Q1 2019 - Q4 2019 Result 1 infections, 1801 patient days ⁴⁷ Rating SIR: N/A ⁴⁷	1 infections, 1801 patient days ⁴⁷	N/A ⁴⁷
Q1 2018 - Q4 2018 Result 3 infections, 1543 patient days ⁴⁷ Rating SIR: N/A ⁴⁷	3 infections, 1543 patient days ⁴⁷	N/A ⁴⁷
Q1 2017 - Q4 2017 Result 0 infections, 1869 patient days ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 1869 patient days ⁴⁵	N/A ⁴⁵
Q1 2016 - Q4 2016 Result 0 infections, 2440 patient days ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 2440 patient days ⁴⁵	N/A ⁴⁵
Q1 2015 - Q4 2015 Result 0 infections, 1999 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 1999 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2014 - Q4 2014 Result 0 infections, 2199 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 2199 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2013 - Q4 2013 Result 0 infections, 1830 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 1830 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2012 - Q4 2012 Result N/A infections, N/A patient days ¹¹³ Rating SIR: N/A ¹¹³	N/A infections, N/A patient days ¹¹³	N/A ¹¹³