Monitoring Pelaporan Indikator Nasional Mutu Rumah Sakit di Indonesia
Memantau pencapaian standar pelayanan kesehatan melalui kepatuhan pelaporan indikator mutu secara real-time untuk mewujudkan pelayanan rumah sakit yang aman, bermutu, dan berstandar nasional.
Pembaruan Terakhir: 02 Juni 2026
| No | Rumah Sakit | Bulan | Tahun | Indikator Mutu (%) | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kepatuhan Kebersihan Tangan | Kepatuhan Penggunaan APD | Kepatuhan Identifikasi Pasien | Waktu Tanggap Seksio Caesarea Emergensi | Waktu Tunggu Rawat Jalan | Penundaan Operasi Elektif | Kepatuhan Waktu Visite Dokter | Pelaporan Hasil Kritis Laboratorium | Kepatuhan Penggunaan Fornas | Kepatuhan Terhadap Clinical Pathway | Kepatuhan Upaya Pencegahan Resiko Pasien Jatuh | Kecepatan Waktu Tanggap Terhadap Komplain | Kepuasan Pasien | ||||
| 109201 | RS Umum Nyai Ageng Pinatih Gresik | 1 | 2022 | 90.28% | 81% | 100% | 100% | 86.18% | 0% | 77.95% | 100% | 99.17% | 100% | 95.71% | 100% | 0 |
| 109202 | RS William Booth Surabaya | 1 | 2022 | 90.18% | 88% | 79.75% | 80% | 86% | 4.06% | 77.65% | 97.5% | 100% | 100% | 100% | 100% | 87 |
| 109203 | RS Petrokimia Gresik | 1 | 2022 | 97.48% | 98% | 100% | 0% | 96.88% | 0% | 68.92% | 100% | 99.7% | 89.77% | 100% | 100% | 0 |
| 109204 | RS Gotong Royong | 1 | 2022 | 46.5% | 95% | 99% | 100% | 40% | 60% | 91.25% | 95% | 91.25% | 100% | 100% | 100% | 85 |
| 109205 | RS Denisa | 1 | 2022 | 90% | 99% | 100% | 100% | 90% | 0% | 96.15% | 100% | 85.23% | 85% | 100% | 100% | 0 |
| 109206 | RS Islam Malang | 1 | 2022 | 90.32% | 97% | 100% | 100% | 100% | 0% | 28.66% | 100% | 80.1% | 71.43% | 100% | 100% | 89 |
| 109207 | RS Katolik St. Vincentius a Paulo | 1 | 2022 | 85.29% | 98% | 97.64% | 0% | 85.45% | 4.09% | 92.18% | 100% | 97.3% | 47.19% | 94.89% | 80% | 87.8 |
| 109208 | RS Ibu dan Anak Graha Medika | 1 | 2022 | 87.23% | 100% | 100% | 100% | 85.71% | 0% | 100% | 100% | 80.18% | 100% | 100% | 100% | 76.39 |
| 109209 | RS Muhammadiyah Gresik | 1 | 2022 | 93.19% | 97% | 100% | 100% | 99.41% | 0% | 62.91% | 100% | 63.81% | 100% | 100% | 100% | 90 |
| 109210 | RS Umum Islam Surabaya Jemursari | 1 | 2022 | 80.8% | 95% | 100% | 80.77% | 0% | 2.09% | 97.8% | 100% | 88% | 100% | 100% | 100% | 0 |
| 109211 | RS Umum Sumekar | 1 | 2022 | 91.03% | 100% | 100% | 100% | 89.06% | 0% | 83.59% | 0% | 94.71% | 0% | 100% | 88.48% | 0 |
| 109212 | RS Umum Islam Aisyiyah Malang | 1 | 2022 | 92.39% | 100% | 100% | 100% | 0% | 4.62% | 56.04% | 90.35% | 93.32% | 0% | 98.41% | 100% | 98.27 |
| 109213 | RS Ibu dan Anak Puri | 1 | 2022 | 85.8% | 83% | 81.9% | 100% | 81.62% | 0% | 83.96% | 100% | 90.73% | 100% | 100% | 100% | 0 |
| 109214 | RS Umum Daerah Ngimbang | 1 | 2022 | 82% | 83% | 82.91% | 100% | 71.01% | 10.61% | 77.36% | 94.83% | 73.68% | 90% | 61.29% | 82.19% | 85.32 |
| 109215 | RS Umum Santa Clara | 1 | 2022 | 69.43% | 73% | 93.74% | 0% | 96.94% | 0% | 72.89% | 89.29% | 100% | 0% | 100% | 100% | 0 |
| 109216 | RS Muji Rahayu | 1 | 2022 | 91.57% | 100% | 100% | 0% | 100% | 4.08% | 35.6% | 100% | 94.74% | 60% | 0% | 100% | 84 |
| 109217 | RS Ichsan Medical Center | 1 | 2022 | 100% | 100% | 100% | 50% | 100% | 0.95% | 74.51% | 100% | 90% | 93.33% | 100% | 100% | 84 |
| 109218 | RS Bedah Mitra Sehat | 1 | 2022 | 90.91% | 100% | 100% | 0% | 100% | 0% | 100% | 100% | 98.57% | 100% | 100% | 100% | 94.6 |
| 109219 | RS Umum Daerah Kota Malang | 1 | 2022 | 85.43% | 98% | 100% | 100% | 95.24% | 4.76% | 86.76% | 100% | 96.45% | 100% | 98.21% | 100% | 0 |
| 109220 | RS Umum TNI AD Tk. IV 05.04.01 Kota Madiun | 1 | 2022 | 91.5% | 100% | 92.13% | 100% | 85.05% | 0% | 75.34% | 100% | 83.22% | 68.33% | 100% | 70.4% | 72 |
| 109221 | RS Selaras | 1 | 2022 | 75% | 85% | 90% | 79.17% | 80.94% | 1.39% | 100% | 100% | 92.52% | 0% | 100% | 100% | 30 |
| 109222 | RS Umum Daerah dr. Mohamad Soewandhie | 1 | 2022 | 99% | 100% | 99.67% | 50% | 91.3% | 0.32% | 81.25% | 91.67% | 100% | 100% | 100% | 100% | 99 |
| 109223 | RS Abdurrahman Syamsuri (Arsy) | 1 | 2022 | 100% | 100% | 100% | 100% | 100% | 100% | 83.6% | 100% | 75.27% | 90% | 100% | 0% | 84 |
| 109224 | RS Umum Bhayangkara Kediri | 1 | 2022 | 88.05% | 100% | 100% | 87.5% | 80.21% | 4.68% | 80.03% | 100% | 98.45% | 80.42% | 100% | 100% | 0 |
| 109225 | RS Umum dr. Suyudi | 1 | 2022 | 86.01% | 83% | 100% | 100% | 92% | 2.74% | 92.5% | 100% | 90% | 91.53% | 100% | 92% | 86.05 |
| 109226 | RS Bantuan 05.08.04 Lawang | 1 | 2022 | 86.57% | 95% | 100% | 0% | 85.06% | 93.33% | 91.28% | 0% | 100% | 100% | 0% | 87.93% | 91.78 |
| 109227 | RS Umum Permata Bunda | 1 | 2022 | 78% | 70% | 64.78% | 43.12% | 61.16% | 0% | 53.39% | 0% | 79.05% | 100% | 80% | 100% | 95 |
| 109228 | RS Umum Intan Medika | 1 | 2022 | 87% | 100% | 98.78% | 100% | 68.75% | 100% | 90.97% | 70% | 91.66% | 68% | 100% | 100% | 0 |
| 109229 | RS Umum Ratih | 1 | 2022 | 93% | 97% | 90% | 88.89% | 82% | 0% | 92% | 89% | 99% | 87% | 90% | 89% | 88 |
| 109230 | RS Umum Islam Siti Aisyah | 1 | 2022 | 92.16% | 93% | 100% | 0% | 72% | 0% | 79.76% | 98.95% | 99.73% | 0% | 100% | 0% | 81.25 |
| 109231 | RS Umum Mitra Keluarga Surabaya | 1 | 2022 | 100% | 100% | 100% | 100% | 95.26% | 2.46% | 96.06% | 100% | 99.92% | 0% | 100% | 100% | 0 |
| 109232 | RS Ibu dan Anak Melati Husada | 1 | 2022 | 100% | 100% | 100% | 100% | 100% | 2.5% | 100% | 100% | 100% | 100% | 100% | 100% | 92 |
| 109233 | RS Umum Daerah Dr. Adjidarmo | 1 | 2022 | 77.38% | 93% | 91.18% | 94.68% | 31.63% | 0% | 78.54% | 88.01% | 89.64% | 0% | 98.85% | 100% | 0 |
| 109234 | RS Muhammadiyah Babat | 1 | 2022 | 72.46% | 90% | 100% | 4.55% | 87.01% | 4.76% | 89.09% | 96.06% | 99.98% | 75.44% | 100% | 86.67% | 89 |
| 109235 | RS Umum Daerah Kota Madiun | 1 | 2022 | 90.14% | 92% | 100% | 52.17% | 94.24% | 62.09% | 99.01% | 100% | 100% | 0% | 100% | 100% | 83.39 |
| 109236 | RS Umum Citra Medika Lamongan | 1 | 2022 | 90% | 85% | 100% | 100% | 91.43% | 1.03% | 92.59% | 100% | 99.9% | 64.71% | 100% | 0% | 85 |
| 109237 | RS TK. IV 05.07.02 Kediri | 1 | 2022 | 80.31% | 92% | 93.44% | 0% | 62.2% | 0% | 63.06% | 100% | 96.64% | 0% | 89.32% | 100% | 63.33 |
| 109238 | RS Ibu dan Anak Mardi Waloeja Rampal Malang | 1 | 2022 | 81.28% | 90% | 87.1% | 75% | 91.3% | 0% | 55.88% | 86.11% | 95.69% | 79.41% | 91.18% | 75% | 77 |
| 109239 | RS Umum Daerah Berkah Pandeglang | 1 | 2022 | 85.5% | 89% | 100% | 100% | 82.25% | 0% | 100% | 100% | 90.5% | 83.5% | 100% | 100% | 0 |
| 109240 | RS Umum Muhammadiyah Babat | 1 | 2022 | 95.5% | 97% | 75.19% | 100% | 80% | 0% | 88.71% | 83.33% | 100% | 85% | 100% | 57.14% | 91 |
| 109241 | RS Umum Griya Husada Madiun | 1 | 2022 | 88.12% | 100% | 100% | 0% | 0% | 1.69% | 43.57% | 85.71% | 82.26% | 0% | 0% | 100% | 0 |
| 109242 | RS Misi Lebak | 1 | 2022 | 100% | 98% | 99.99% | 5.71% | 99.98% | 0% | 58.56% | 100% | 100% | 74.68% | 100% | 100% | 100 |
| 109243 | RS Umum Islam Cahaya Giri Gresik | 1 | 2022 | 88.03% | 100% | 100% | 0% | 85.01% | 0% | 83.33% | 100% | 91.18% | 83.33% | 100% | 80% | 81 |
| 109244 | RS Umum Adi Husada Kapasari | 1 | 2022 | 92.31% | 94% | 100% | 0% | 100% | 0% | 90.9% | 100% | 99.88% | 81.67% | 99.3% | 100% | 85.08 |
| 109245 | RS Ibu dan Anak Bantuan 05.08.05 Surabaya | 1 | 2022 | 100% | 100% | 100% | 83.33% | 95.9% | 1.01% | 87.88% | 82.5% | 62.11% | 84.38% | 88.02% | 100% | 76.19 |
| 109246 | RS Umum Rachmi Dewi | 1 | 2022 | 81.79% | 90% | 100% | 100% | 81.83% | 0% | 94.34% | 100% | 98.12% | 89.29% | 0% | 100% | 0 |
| 109247 | RS Islam Darus Syifa | 1 | 2022 | 90% | 98% | 100% | 0% | 85.71% | 0.74% | 39.79% | 100% | 96.44% | 63.59% | 100% | 100% | 95.97 |
| 109248 | RS Umum Panti Nirmala | 1 | 2022 | 99.74% | 100% | 99.74% | 100% | 97.07% | 0% | 55.97% | 100% | 99.74% | 100% | 100% | 100% | 84.04 |
| 109249 | RS Umum Randegansari Husada | 1 | 2022 | 50% | 56% | 44.44% | 40% | 58.33% | 0% | 50% | 60% | 55.56% | 0% | 55.56% | 66.67% | 65 |
| 109250 | RS Islam Surabaya | 1 | 2022 | 98% | 99% | 100% | 100% | 81.25% | 0% | 51.46% | 100% | 79.87% | 86.25% | 100% | 100% | 94.5 |
Informasi Indikator Nasional Mutu Rumah Sakit
Penjelasan singkat berikut bertujuan agar masyarakat umum dapat memahami makna setiap indikator mutu yang digunakan dalam pemantauan pelayanan rumah sakit.
Kepatuhan Kebersihan Tangan
Mengukur kepatuhan tenaga kesehatan dalam melakukan kebersihan tangan (handrub/handwash) sesuai 6 langkah dan 5 momen kebersihan tangan.
Kepatuhan Penggunaan APD
Mengukur kepatuhan petugas rumah sakit dalam menggunakan Alat Pelindung Diri (APD) pada kondisi yang terindikasi.
Kepatuhan Identifikasi Pasien
Menilai kepatuhan tenaga kesehatan dalam melakukan identifikasi pasien menggunakan minimal dua identitas sebelum tindakan medis.
Waktu Tanggap Seksio Caesarea Emergensi
Mengukur kecepatan tindakan operasi SC emergensi kategori 1 sejak keputusan operasi hingga insisi dilakukan.
Waktu Tunggu Rawat Jalan
Menilai waktu tunggu pasien rawat jalan sejak pendaftaran hingga dilayani oleh dokter.
Penundaan Operasi Elektif
Mengukur keterlambatan operasi terjadwal, dinilai baik jika tidak terlambat lebih dari 1 jam dari jadwal.
Kepatuhan Waktu Visite Dokter
Menilai kepatuhan dokter dalam melakukan visite pasien rawat inap pada rentang waktu yang ditentukan.
Pelaporan Hasil Kritis Laboratorium
Menilai kecepatan pelaporan hasil laboratorium kritis yang memerlukan tindak lanjut segera.
Kepatuhan Penggunaan Fornas
Menilai kesesuaian obat yang diresepkan dokter dengan Formularium Nasional.
Kepatuhan terhadap Clinical Pathway
Menilai kesesuaian pelayanan dengan alur klinis pada penyakit prioritas nasional.
Pencegahan Risiko Pasien Jatuh
Menilai upaya pencegahan risiko jatuh pada pasien rawat inap berisiko tinggi.
Kecepatan Tanggap Komplain
Menilai kecepatan rumah sakit dalam menangani keluhan pasien sesuai tingkat prioritas.
Kepuasan Pasien
Mengukur tingkat kepuasan pasien terhadap 9 unsur pelayanan rumah sakit berdasarkan survei.
