Illinois Hospital Report Card

and Consumer Guide to Health Care

Advocate Illinois Masonic 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

Healthcare Facility Onset Incidence Rate	Result	SIR
Methicillin-resistant Staphylococcus aureus (MRSA) blood stream infections Q1 2024 - Q4 2024 Result 1 infections, 69927 patient days Rating SIR: 0.23	1 infections, 69927 patient days	0.23
Description Methicillin-resistant Staphylococcus aureus infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2023 - Q4 2023 Result 1 infections, 67546 patient days Rating SIR: 0.28	1 infections, 67546 patient days	0.28
Q1 2022 - Q4 2022 Result 1 infections, 69054 patient days Rating SIR: 0.28	1 infections, 69054 patient days	0.28
Q1 2021 - Q4 2021 Result 0 infections, 63208 patient days Rating SIR: 0.00	0 infections, 63208 patient days	0.00
Q1 2020 - Q4 2020 Result 3 infections, 57101 patient days Rating SIR: 1.11	3 infections, 57101 patient days	1.11
Q1 2019 - Q4 2019 Result 1 infections, 60244 patient days Rating SIR: 0.29	1 infections, 60244 patient days	0.29
Q1 2018 - Q4 2018 Result 0 infections, 64296 patient days Rating SIR: 0.00	0 infections, 64296 patient days	0.00
Q1 2017 - Q4 2017 Result 0 infections, 63324 patient days Rating SIR: 0.00	0 infections, 63324 patient days	0.00
Q1 2016 - Q4 2016 Result 2 infections, 70010 patient days Rating SIR: 0.54	2 infections, 70010 patient days	0.54
Q1 2015 - Q4 2015 Result 0 infections, 72688 patient days Rating SIR: 0.00	0 infections, 72688 patient days	0.00
Q1 2014 - Q4 2014 Result 4 infections, 78710 patient days Rating SIR: 0.92	4 infections, 78710 patient days	0.92
Q1 2013 - Q4 2013 Result 2 infections, 77805 patient days Rating SIR: 0.46	2 infections, 77805 patient days	0.46
Q1 2012 - Q4 2012 Result 5 infections, 84794 patient days Rating SIR: 0.75	5 infections, 84794 patient days	0.75
Q1 2012 - Q2 2012 Result 2 infections, 42030 patient days Rating SIR: 0.48	2 infections, 42030 patient days	0.48
Clostridioides difficile infections (CDI) Q1 2024 - Q4 2024 Result 13 infections, 64040 patient days Rating SIR: 0.44	13 infections, 64040 patient days	0.44
Description Clostridium difficile infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2023 - Q4 2023 Result 9 infections, 61820 patient days Rating SIR: 0.33	9 infections, 61820 patient days	0.33
Q1 2022 - Q4 2022 Result 19 infections, 62712 patient days Rating SIR: 0.68	19 infections, 62712 patient days	0.68
Q1 2021 - Q4 2021 Result 19 infections, 56917 patient days Rating SIR: 0.72	19 infections, 56917 patient days	0.72
Q1 2020 - Q4 2020 Result 11 infections, 50697 patient days Rating SIR: 0.49	11 infections, 50697 patient days	0.49
Q1 2019 - Q4 2019 Result 11 infections, 52166 patient days Rating SIR: 0.48	11 infections, 52166 patient days	0.48
Q1 2018 - Q4 2018 Result 21 infections, 57544 patient days Rating SIR: 0.59	21 infections, 57544 patient days	0.59
Q1 2017 - Q4 2017 Result 16 infections, 51379 patient days Rating SIR: 0.46	16 infections, 51379 patient days	0.46
Q1 2016 - Q4 2016 Result 22 infections, 58503 patient days Rating SIR: 0.55	22 infections, 58503 patient days	0.55
Q1 2015 - Q4 2015 Result 38 infections, 61883 patient days Rating SIR: 0.68	38 infections, 61883 patient days	0.68
Q1 2014 - Q4 2014 Result 46 infections, 67438 patient days Rating SIR: 0.76	46 infections, 67438 patient days	0.76
Q1 2013 - Q4 2013 Result 42 infections, 65221 patient days Rating SIR: 0.72	42 infections, 65221 patient days	0.72
Q1 2012 - Q4 2012 Result 37 infections, 72614 patient days Rating SIR: 0.57	37 infections, 72614 patient days	0.57