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 | ||||
| 120001 | RS Umum Daerah Amurang | 4 | 2022 | 80% | 85% | 93.75% | 0% | 85% | 0% | 83.33% | 100% | 90% | 90% | 90% | 100% | 0 |
| 120002 | RS Umum Tk. IV Samarinda | 4 | 2022 | 88% | 93% | 91.18% | 0% | 71.88% | 50% | 75% | 100% | 86.11% | 67.65% | 100% | 75% | 0 |
| 120003 | RS Tk. II Kartika Husada Kes.Dam XII Tanjungpura | 4 | 2022 | 96% | 98% | 100% | 75% | 90% | 0% | 96.98% | 100% | 89.77% | 91.01% | 100% | 100% | 93.54 |
| 120004 | RS Umum Daerah Tanjung Selor | 4 | 2022 | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 100% | 0% | 0% | 0% | 0% | 0 |
| 120005 | RSUP Prof. Dr. R. D. Kandou | 4 | 2022 | 87.78% | 92% | 100% | 5.56% | 91.01% | 3.32% | 99.77% | 100% | 97.62% | 100% | 100% | 100% | 0 |
| 120006 | RS Umum Daerah Ratu Zalecha | 4 | 2022 | 84.89% | 100% | 100% | 0% | 52.43% | 0% | 92.37% | 88.46% | 99.86% | 86.39% | 100% | 100% | 79.49 |
| 120007 | RS Umum Daerah Luwuk | 4 | 2022 | 81% | 86% | 100% | 83.33% | 91.7% | 9.26% | 100% | 100% | 93.96% | 77.32% | 100% | 100% | 0 |
| 120008 | RS Umum Daerah Kabupaten Kubu Raya | 4 | 2022 | 92% | 82% | 100% | 100% | 98.7% | 0% | 100% | 100% | 98.99% | 100% | 97.83% | 100% | 81 |
| 120009 | RS Pupuk Kaltim | 4 | 2022 | 82.53% | 100% | 100% | 0% | 88.26% | 0% | 92.58% | 100% | 93.23% | 75% | 100% | 100% | 83 |
| 120010 | RS Umum Daerah Aji Batara Agung Dewa Sakti | 4 | 2022 | 99.41% | 88% | 99.99% | 70.83% | 60.96% | 0% | 98.46% | 94.81% | 100% | 0% | 100% | 100% | 0 |
| 120011 | RS Jiwa Sambang Lihum | 4 | 2022 | 99.65% | 99% | 100% | 0% | 100% | 0% | 77.37% | 0% | 100% | 100% | 100% | 0% | 0 |
| 120012 | Sentra Medika Hospital Minahasa Utara | 4 | 2022 | 88.45% | 99% | 100% | 11.11% | 92.49% | 0% | 64.79% | 100% | 81.76% | 50% | 100% | 97.49% | 97.49 |
| 120013 | RS Pratama dr. Abdul Chalik Masulili | 4 | 2022 | 90% | 100% | 100% | 0% | 100% | 0% | 100% | 100% | 93.46% | 100% | 100% | 100% | 0 |
| 120014 | RS TK. II R. W. Mongisidi | 4 | 2022 | 77.65% | 82% | 96.88% | 51.61% | 60.75% | 64% | 97.38% | 100% | 97.97% | 53.66% | 98.96% | 100% | 0 |
| 120015 | RS Umum Manado Medical Center | 4 | 2022 | 91.32% | 100% | 100% | 85.71% | 87.2% | 2.86% | 90.09% | 100% | 91.6% | 86.14% | 100% | 100% | 95 |
| 120016 | RS Umum Daerah Brigjed H. Hasan Basry Kandangan | 4 | 2022 | 89.65% | 89% | 100% | 96.15% | 85.54% | 14.14% | 95.03% | 100% | 81.25% | 84.29% | 100% | 0% | 87.31 |
| 120017 | RS Umum Daerah Morowali | 4 | 2022 | 99.75% | 100% | 100% | 100% | 100% | 0% | 89.68% | 100% | 99.74% | 100% | 100% | 81.82% | 82.01 |
| 120018 | RS Umum Almansyur Medika Banjarbaru | 4 | 2022 | 52.08% | 63% | 100% | 100% | 86.67% | 0% | 83.33% | 100% | 85% | 100% | 100% | 100% | 85 |
| 120019 | RS Borneo Citra Medika | 4 | 2022 | 96.2% | 100% | 100% | 100% | 97.69% | 0% | 79.16% | 100% | 100% | 100% | 100% | 100% | 84.38 |
| 120020 | RS Umum Daerah Dr. Abdul Aziz Singkawang | 4 | 2022 | 92.2% | 99% | 99.54% | 100% | 100% | 0.32% | 91.06% | 98.81% | 100% | 100% | 97.81% | 0% | 0 |
| 120021 | RS Umum Daerah Komodo | 4 | 2022 | 90.55% | 100% | 98.91% | 100% | 42.63% | 0% | 100% | 100% | 91.39% | 0% | 95.44% | 100% | 0 |
| 120022 | RS Umum Daerah Kabelota | 4 | 2022 | 75% | 100% | 60% | 87.5% | 96.67% | 16.67% | 83.33% | 80% | 62.5% | 71.43% | 0% | 60% | 0 |
| 120023 | RS Ibu dan Anak Wempe Singkawang | 4 | 2022 | 82.84% | 100% | 100% | 10.71% | 53.57% | 0% | 95.9% | 100% | 100% | 100% | 100% | 100% | 0 |
| 120024 | RS Umum Hj. Zubaeda Bantilan | 4 | 2022 | 79.5% | 85% | 72.5% | 0% | 100% | 0% | 100% | 100% | 100% | 100% | 100% | 0% | 85 |
| 120025 | RS Umum Dirgahayu | 4 | 2022 | 51% | 95% | 96.66% | 33.33% | 80.25% | 12.81% | 85.66% | 98.98% | 99.7% | 0% | 100% | 100% | 83 |
| 120026 | RS TK IV Guntung Payung | 4 | 2022 | 99.31% | 94% | 96.95% | 100% | 97.27% | 0% | 84.15% | 100% | 93.16% | 100% | 95.43% | 0% | 0 |
| 120027 | RS Umum Permata Husada Banjarbaru | 4 | 2022 | 90% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 98.72% | 100% | 100% | 100% | 93 |
| 120028 | RS Umum Ceria | 4 | 2022 | 73.72% | 100% | 95.45% | 100% | 40.79% | 1.06% | 23.38% | 100% | 94.77% | 89.39% | 95.45% | 100% | 0 |
| 120029 | RS St Antonius Jopu | 4 | 2022 | 90% | 100% | 100% | 0% | 100% | 0% | 100% | 100% | 100% | 100% | 100% | 100% | 0 |
| 120030 | RS Umum Prof. Dr. WZ Johanes | 4 | 2022 | 91.18% | 89% | 100% | 72.34% | 49.86% | 1.65% | 94.97% | 95.15% | 100% | 100% | 100% | 100% | 0 |
| 120031 | RS Umum Sentra Medika Sanggau | 4 | 2022 | 95.97% | 97% | 98.98% | 0% | 88.03% | 0% | 91.67% | 100% | 97.03% | 0% | 100% | 100% | 0 |
| 120032 | RS Umum Daerah Sultan Muhammad Jamaludin I | 4 | 2022 | 81.14% | 92% | 100% | 87.5% | 59.52% | 17.39% | 100% | 73.33% | 86.22% | 0% | 100% | 0% | 0 |
| 120033 | RS Umum Daerah Ampana | 4 | 2022 | 71.67% | 79% | 88.89% | 84% | 68.75% | 14.17% | 96.8% | 62.86% | 96% | 0% | 84.67% | 93.33% | 0 |
| 120034 | RS Umum Daerah Pemangkat | 4 | 2022 | 96.49% | 96% | 99.9% | 0% | 82.09% | 0.78% | 78.49% | 94.65% | 84% | 93.1% | 100% | 0% | 83.05 |
| 120035 | RS Umum Daerah H. Boejasin Pelaihari | 4 | 2022 | 85.81% | 50% | 100% | 100% | 75% | 5.56% | 100% | 50% | 96.41% | 0% | 75% | 100% | 0 |
| 120036 | RS Jiwa Provinsi Kalimantan Barat | 4 | 2022 | 100% | 100% | 100% | 0% | 97.29% | 0% | 67.5% | 100% | 85.71% | 87.7% | 23.81% | 100% | 0 |
| 120037 | RS Islam Sultan Agung Banjarbaru | 4 | 2022 | 97.95% | 100% | 100% | 91.43% | 96.65% | 0% | 71.26% | 100% | 86.93% | 88.89% | 100% | 100% | 0 |
| 120038 | RS Umum Daerah Ratu Aji Putri Botung | 4 | 2022 | 50% | 90% | 62.5% | 0% | 82.81% | 0% | 96.09% | 98.48% | 98.16% | 68.09% | 64.84% | 100% | 0 |
| 120039 | RS Umum Handayati | 4 | 2022 | 100% | 100% | 100% | 93.55% | 98.21% | 4.35% | 100% | 100% | 100% | 98.59% | 100% | 100% | 97 |
| 120040 | RS Umum Siloam Hospital Manado | 4 | 2022 | 94.16% | 86% | 96.3% | 0% | 50.42% | 16.79% | 62.96% | 100% | 100% | 100% | 100% | 100% | 98.32 |
| 120041 | RS Umum Daerah Gambiran | 4 | 2022 | 73.27% | 94% | 97.63% | 0% | 68.08% | 3.7% | 99.36% | 100% | 100% | 52% | 95.45% | 100% | 94.45 |
| 120042 | RS Semen Gresik | 4 | 2022 | 96.76% | 100% | 100% | 0% | 90.07% | 0% | 89.04% | 100% | 72.37% | 79.81% | 100% | 100% | 81.2 |
| 120043 | RS Umum Sumekar | 4 | 2022 | 91.7% | 100% | 100% | 100% | 95.53% | 0% | 97.6% | 0% | 95.57% | 0% | 100% | 92.31% | 0 |
| 120044 | RS Nahdlatul Ulama Tuban | 4 | 2022 | 95.83% | 100% | 100% | 100% | 100% | 0% | 74.03% | 100% | 100% | 30.95% | 100% | 100% | 93 |
| 120045 | RS Grha Husada Gresik | 4 | 2022 | 88.26% | 90% | 97.13% | 0% | 85.43% | 0% | 96.72% | 100% | 91.99% | 80% | 100% | 100% | 0 |
| 120046 | RS Umum Daerah dr. Mohamad Saleh Kota Probolinggo | 4 | 2022 | 52.63% | 100% | 100% | 36.36% | 56.17% | 0% | 99.89% | 100% | 69.45% | 100% | 99.73% | 100% | 0 |
| 120047 | RS Umum Daerah R. Ali Manshur | 4 | 2022 | 60% | 60% | 97.08% | 0% | 100% | 0% | 83.46% | 100% | 78.36% | 0% | 62.41% | 0% | 0 |
| 120048 | RS Ibu dan Anak Mardi Waloeja Kauman Malang | 4 | 2022 | 81.5% | 100% | 100% | 0% | 91.91% | 0% | 90.57% | 0% | 87.5% | 0% | 0% | 0% | 44 |
| 120049 | RS Umum Daerah Ibnu Sina Kab. Gresik | 4 | 2022 | 100% | 92% | 100% | 29.41% | 82.81% | 4.1% | 76.74% | 89.02% | 88.4% | 100% | 100% | 100% | 0 |
| 120050 | RS Umum Daerah Kilisuci | 4 | 2022 | 100% | 100% | 100% | 100% | 100% | 0% | 64.86% | 0% | 95.15% | 100% | 78.26% | 100% | 100 |
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.
