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Mutu Pelayanan thn 2024
Imanuel Way Halim melakukan pengukuran secara berkala terhadap mutu pelayanan. Pengumpulan data dilakukan oleh Komite Mutu. Berikut ini adalah hasil pengukuran indikator nasional mutu rumah sakit pada tahun 2024.
| No. | NAMA INDIKATOR | Standar | JAN | FEB | MAR | APR | MEI | JUN | JULI | AGUST | SEPT | OKT | NOV | DES |
| 1 | Kepatuhan Kebersihan Tangan | ≥85% | 87% | 86% | 86% | 86% | 89% | 88% | 89% | 89% | 88% | 89% | 88% | 89% |
| 2 | Kepatuhan Penggunaan Alat Pelindung Diri (APD) | 100% | 96% | 95% | 94% | 97% | 99% | 98% | 96% | 98% | 97% | 98% | 100% | 100% |
| 3 | Kepatuhan Identifikasi Pasien | 100% | 99.52% | 99% | 98% | 98% | 99% | 99% | 99% | 99% | 99% | 99% | 99% | 99% |
| 4 | Waktu Tanggap Emergensi Sectio Secaria | ≥80% | 0% | 0% | 100% | 100% | 100% | Tidak ada emergency SC | Tidak ada emergency SC | 0 % | 25% | 100% | Tidak ada emergency Sc | Tidak ada emergency SC |
| 5 | Waktu Tunggu Rawat Jalan | ≥80% | 71% | 65% | 67% | 70% | 72% | 72% | 73% | 77% | 80% | 75% | 76% | 74% |
| 6 | Penundaan Operasi Elektif | ≤5% | 12% | 14% | 13% | 11% | 11% | 4% | 7% | 14% | 7% | 9% | 7% | 8% |
| 7 |
Kepatuhan Waktu Visite Dokter Penanggung Jawab Pelayanan |
≥80% | 69% | 64% | 64% | 62% | 58% | 58% | 61% | 51% | 60% | 67% | 68% | 64% |
| 8 | Pelaporan Hasil Kritis Laboratorium | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| 9 | Kepatuhan Penggunaan Formalium Nasional | ≥80% | 93% | 85% | 93% | 91% | 84% | 68% | 97% | 97% | 97% | 93% | 97% | 97% |
| 10 | Kepatuhan Terhadap Clinical Pathway | ≥80% | 93% | 85% | 93% | 91% | 84% | 68% | 82% | 68% | 72% | 65% | 61% | 60% |
| 11 | Kepatuhan Upaya Pencegahan Risiko Pasien Jatuh | 100% | 96% | 99% | 98% | 99% | 99% | 95% | 99% | 99% | 98% | 98% | 99% | 99% |
| 12 | Kecepatan Waktu Tanggap Terhadap Komplain | ≥80% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| 13 | Kepuasan Pasien | ≥76,61% | 98% | 96% | ||||||||||
