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 | ||||
| 12001 | RS Khusus Bedah BIMC | 4 | 2026 | 91.5% | 93% | 100% | % | 98.06% | 0% | 86.21% | 100% | 100% | 100% | 100% | 100% | 0 |
| 12002 | RS Bhayangkara | 4 | 2026 | 100% | 100% | 99.61% | 0% | 99.38% | 1.56% | 80.15% | 100% | 99.28% | 57.14% | 95.36% | 0% | 0 |
| 12003 | RS Ibu dan Anak Puri Bunda Tabanan | 4 | 2026 | 89.52% | 100% | 100% | 81.82% | 84.26% | 4.79% | 91.57% | 100% | 99.73% | 84% | 100% | 100% | 0 |
| 12004 | RS Umum Daerah Naibonat | 4 | 2026 | 93.37% | 91% | 100% | 75% | 80.44% | 0% | 77.42% | 100% | 92.05% | 96.92% | 100% | 100% | 0 |
| 12005 | RS Umum Soe | 4 | 2026 | 96.07% | 98% | 100% | 90.77% | 23.22% | 5.43% | 99.5% | 100% | 99.85% | 83.33% | 100% | 100% | 0 |
| 12006 | RS Ibu dan Anak Cahaya Bunda | 4 | 2026 | 85.5% | 100% | 100% | 90.91% | 83.59% | 2.86% | 96.88% | 100% | 90.62% | 93.75% | 98.44% | 100% | 0 |
| 12007 | RS Daerah Mangusada | 4 | 2026 | 92.14% | 100% | 100% | 100% | 97.87% | 1.06% | 96.34% | 100% | 98.42% | 83.33% | 100% | 100% | 0 |
| 12008 | RS Umum Famili Husada | 4 | 2026 | 89% | 100% | 100% | 50% | 100% | 0% | 65.32% | 100% | 96.24% | 87.5% | 100% | 100% | 0 |
| 12009 | Siloam Hospitals Mataram | 4 | 2026 | 88.94% | 100% | 100% | 0% | 72.36% | 0% | 96.06% | 100% | 100% | 86.97% | 99.62% | 100% | 0 |
| 12010 | RS Umum Ari Canti | 4 | 2026 | 86% | 100% | 100% | 100% | 96.95% | 0.41% | 99.69% | 100% | 99% | 84.21% | 100% | 100% | 0 |
| 12011 | RS Universitas Mataram | 4 | 2026 | 85% | 95% | 100% | 100% | 80.54% | 0% | 84.79% | 100% | 96.15% | 100% | 100% | 0% | 0 |
| 12012 | RS Ibu dan Anak Tresna | 4 | 2026 | 97.5% | 100% | 100% | 100% | 94.47% | 0% | 100% | 100% | 42.02% | 100% | 100% | 0% | 0 |
| 12013 | RS Umum Ganesha | 4 | 2026 | 88.61% | 100% | 100% | 100% | 93.37% | 0% | 95.14% | 100% | 100% | 90% | 100% | 100% | 0 |
| 12014 | RS Mata Nusa Tenggara Barat | 4 | 2026 | 85% | 75% | 100% | 0% | 82% | 6.25% | 100% | 100% | 86.67% | 100% | 91.43% | 91.67% | 0 |
| 12015 | RS Umum Premagana | 4 | 2026 | 87.6% | 100% | 99.72% | 100% | 98.99% | 1.16% | 94.93% | 100% | 97.47% | 91.67% | 100% | 100% | 0 |
| 12016 | RS Umum Waikabubak | 4 | 2026 | 85.69% | 95% | 99.8% | 100% | 84.74% | 2.78% | 100% | 97.37% | 88.73% | 81.25% | 99.34% | 100% | 0 |
| 12017 | RS Harapan Keluarga | 4 | 2026 | 100% | 99% | 100% | 89% | 90% | 2% | 98% | 100% | 88% | 88% | 100% | 100% | 0 |
| 12018 | RS Umum Daerah Sanjiwani Gianyar | 4 | 2026 | 96.25% | 100% | 100% | 0% | 80.41% | 3.45% | 82.41% | 100% | 100% | 100% | 100% | 100% | 0 |
| 12019 | RS Umum Daerah Kota Bima | 4 | 2026 | 94.5% | 99% | 88.45% | 100% | 100% | 1.55% | 81.41% | 95% | 93.6% | 0% | 100% | 89.47% | 0 |
| 12020 | RS Universitas Udayana | 4 | 2026 | 90.66% | 100% | 100% | 0% | 97.12% | 0% | 85.36% | 100% | 95.87% | 0% | 100% | 100% | 0 |
| 12021 | RS Kristen Lende Moripa | 4 | 2026 | 90.72% | 89% | 98.54% | 100% | 84.67% | 3.78% | 91.76% | 100% | 86.64% | 79.41% | 99.52% | 0% | 0 |
| 12022 | RS Bali Jimbaran | 4 | 2026 | 92.48% | 96% | 95% | 13.33% | 93.33% | 2.21% | 93.82% | 100% | 100% | 73.33% | 97% | 100% | 0 |
| 12023 | RS Karitas Weetabula | 4 | 2026 | 98.86% | 100% | 100% | 90.48% | 40.62% | 1.63% | 100% | 100% | 100% | 0% | 100% | 100% | 0 |
| 12024 | RS Umum Surya Husadha Nusa Dua | 4 | 2026 | 98.1% | 100% | 100% | 100% | 100% | 4.08% | 75.49% | 100% | 80.34% | 50% | 100% | 100% | 0 |
| 12025 | RS Metro Medika | 4 | 2026 | 100% | 100% | 90.91% | 100% | 100% | 0% | 100% | 100% | 100% | 100% | 100% | 100% | 0 |
| 12026 | RS Umum Daerah Tabanan | 4 | 2026 | 97.44% | 100% | 100% | 0% | 99.83% | 1.8% | 96.92% | 100% | 100% | 100% | 100% | 100% | 0 |
| 12027 | RS Umum Dr TC Hillers Maumere | 4 | 2026 | 74.5% | 99% | 94.8% | 0% | 41.02% | 0% | 98.79% | 100% | 96.77% | 0% | 100% | 100% | 0 |
| 12028 | RS Umum Balimed Negara | 4 | 2026 | 88.5% | 89% | 100% | 100% | 43.05% | 3.02% | 75.47% | 100% | 87.5% | 100% | 100% | 100% | 0 |
| 12029 | RS St Elizabeth Lela | 4 | 2026 | 85.71% | 100% | 99.76% | 0% | 84.62% | 0% | 100% | 100% | 100% | 0% | 100% | 0% | 0 |
| 12030 | RS Umum St. Gabriel Kewapante Sikka | 4 | 2026 | 98.5% | 97% | 97.49% | 96.55% | 67.15% | 95.17% | 98.11% | 100% | 0% | 0% | 100% | 100% | 0 |
| 12031 | RS Umum Bunda | 4 | 2026 | 93.5% | 100% | 100% | 0% | 97% | 0% | 90.03% | 100% | 84.1% | 86.79% | 100% | 100% | 0 |
| 12032 | RS Umum Daerah Ende | 4 | 2026 | 84.51% | 90% | 100% | 0% | 77.5% | 14.49% | 100% | 100% | 97.24% | 88% | 93.6% | 100% | 0 |
| 12033 | RS Umum Kertayasa | 4 | 2026 | 95.54% | 95% | 90.82% | 0% | 96.43% | 4.26% | 37% | 80% | 93.18% | 83.33% | 91.67% | 92.31% | 0 |
| 12034 | RS Umum Muder Ignacia | 4 | 2026 | 99% | 93% | 0% | 0% | 100% | 0% | 0% | 0% | 100% | 0% | 0% | 0% | 0 |
| 12035 | RS Umum Negara | 4 | 2026 | 91.5% | 92% | 100% | 33.33% | 88.97% | 21.71% | 99.67% | 100% | 100% | 96.44% | 100% | 100% | 0 |
| 12036 | RS Umum Daerah Ruteng | 4 | 2026 | 83.37% | 89% | 93.33% | 100% | 77.78% | 0% | 98.18% | 96.33% | 99.96% | 95.19% | 100% | 0% | 0 |
| 12037 | RS Siloam Labuan Bajo | 4 | 2026 | 97.85% | 100% | 100% | 66.67% | 71.42% | 0% | 81.11% | 100% | 100% | 73.35% | 100% | 100% | 0 |
| 12038 | RS Hermana | 4 | 2026 | 85% | 94% | 100% | 0% | 90.78% | 0% | 76.55% | 100% | 100% | 0% | 100% | 100% | 0 |
| 12039 | RS Umum Daerah Komodo | 4 | 2026 | 84.01% | 95% | 85.78% | 100% | 54.13% | 10.88% | 94.35% | 58.82% | 100% | 0% | 68.89% | 100% | 0 |
| 12040 | RS Cinta Kasih | 4 | 2026 | 86.33% | 100% | 100% | 0% | 59.04% | 0% | 52.18% | 100% | 100% | 67.05% | 100% | 100% | 0 |
| 12041 | RS Umum Daerah Waibakul | 4 | 2026 | 78.64% | 100% | 100% | 20% | 89.45% | 0% | 100% | 100% | 83.86% | 80% | 100% | 0% | 0 |
| 12042 | RS Umum Daerah Reda Bolo | 4 | 2026 | 75% | 96% | 100% | 100% | 100% | 0% | 100% | 100% | 100% | 0% | 0% | 100% | 0 |
| 12043 | RS St Antonius Jopu | 4 | 2026 | 86.16% | 88% | 100% | 100% | 42.94% | 0% | 100% | 100% | 100% | 80% | 80% | 0% | 0 |
| 12044 | RS Umum Semara Ratih | 4 | 2026 | 96% | 100% | 100% | 0% | 100% | 0% | 88% | 100% | 95% | 0% | 100% | 100% | 0 |
| 12045 | RS Umum Daerah Kefamenanu | 4 | 2026 | 66.73% | 70% | 93.28% | 100% | 69.67% | 100% | 100% | 100% | 82.41% | 66.67% | 96.15% | 100% | 0 |
| 12046 | RS Umum Bunda Pembantu Abadi Naob | 4 | 2026 | 79.63% | 82% | 83.33% | 0% | 100% | 0% | 100% | 100% | 95.8% | 100% | 100% | 100% | 0 |
| 12047 | RS Umum Bali Holistik | 4 | 2026 | 80% | 93% | 100% | 0% | 100% | 0% | 100% | 0% | 100% | 100% | 100% | 0% | 0 |
| 12048 | RS Umum Leona | 4 | 2026 | 100% | 100% | 100% | 100% | 95.09% | 0% | 11.2% | 100% | 100% | 100% | 100% | 100% | 0 |
| 12049 | RS Umum Daerah Singasana | 4 | 2026 | 97.78% | 100% | 100% | 100% | 100% | 0% | 97.66% | 100% | 100% | 100% | 100% | 100% | 0 |
| 12050 | RS Umum Daerah MGR Gabriel Manek | 4 | 2026 | 60% | 97% | 100% | 0% | 78% | 0% | 100% | 60% | 95.36% | 0% | 100% | 0% | 0 |
Penjelasan singkat berikut bertujuan agar masyarakat umum dapat memahami makna setiap indikator mutu yang digunakan dalam pemantauan pelayanan rumah sakit.
Mengukur kepatuhan tenaga kesehatan dalam melakukan kebersihan tangan (handrub/handwash) sesuai 6 langkah dan 5 momen kebersihan tangan.
Mengukur kepatuhan petugas rumah sakit dalam menggunakan Alat Pelindung Diri (APD) pada kondisi yang terindikasi.
Menilai kepatuhan tenaga kesehatan dalam melakukan identifikasi pasien menggunakan minimal dua identitas sebelum tindakan medis.
Mengukur kecepatan tindakan operasi SC emergensi kategori 1 sejak keputusan operasi hingga insisi dilakukan.
Menilai waktu tunggu pasien rawat jalan sejak pendaftaran hingga dilayani oleh dokter.
Mengukur keterlambatan operasi terjadwal, dinilai baik jika tidak terlambat lebih dari 1 jam dari jadwal.
Menilai kepatuhan dokter dalam melakukan visite pasien rawat inap pada rentang waktu yang ditentukan.
Menilai kecepatan pelaporan hasil laboratorium kritis yang memerlukan tindak lanjut segera.
Menilai kesesuaian obat yang diresepkan dokter dengan Formularium Nasional.
Menilai kesesuaian pelayanan dengan alur klinis pada penyakit prioritas nasional.
Menilai upaya pencegahan risiko jatuh pada pasien rawat inap berisiko tinggi.
Menilai kecepatan rumah sakit dalam menangani keluhan pasien sesuai tingkat prioritas.
Mengukur tingkat kepuasan pasien terhadap 9 unsur pelayanan rumah sakit berdasarkan survei.