CMS modules by everest poker.
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 2025.
| No | NAMA INDIKATOR | Standar | JANUARI | FEBRUARI | MARET | APRIL | MEI | Juni | Juli | Agust | Sept | Okt | Nov | Des |
| 1 | Kepatuhan kebersihan Tangan | ≥85% | 89% | 90% | 90% | 90% | 90% | 90% | 97% | 90% | 86% | 91% | 84% | 84% |
| 2 | Kepatuhan Penggunaan Alat Pelindung Diri (APD) | 100% | 100% | 99% | 98% | 98% | 98% | 97% | 98% | 99% | 98% | 99% | 96% | 94% |
| 3 | Kepatuhan Identitas Pasien | 100% | 99.62% | 99% | 98% | 99% | 99% | 99.6% | 100% | 100% | 100% | 100% | 100% | 100% |
| 4 | Waktu Tanggap Emergensi Sectio Secaria | ≥80% |
Tidak ada tindakan SC sesuai kriteria |
100% | 0% | 100% | 50% |
tidak ada
SC sesuai kriteria
|
100% |
tidak ada
SC sesuai kriteria
|
||||
| 5 | Waktu Tunggu Rawat Jalan | ≥80% | 70% | 78% | 80% | 77% | 94% | 76% | 72% | 77% | 74% | 66% | 69% | 68% |
| 6 | Penundaan Operasi Elektif | ≤5% | 10% | 13% | 18% | 13% | 5% | 6% | 3% | 10% | 6% | 6% | 7% | 12% |
| 7 | Kepatuhan Waktu Visite Dokter Penanggung Jawab Pelayananan | ≥80% | 60% | 57% | 66% | 66 % | 64% | 68% | 66% | 62% | 62% | 58% | 66% | 59% |
| 8 | Pelaporan Hasil Kritis Laboratorium | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| 9 | Kepatuhan Penggun Formalium Nasional | ≥80% | 97% | 96% | 97% | 97% | 96 % | 96% | 96% | 96% | 96% | 96% | 96% | 96% |
| 10 | Kepatuhan Terhadap Clinical Pathway | ≥80% | 50% | 38% | 28% | 17% | 39 % | 39% | 35% | 42% | 38% | 30% | 75% | 78% |
| 11 | Kepatuhan Upaya Pencegahan Risiko Pasien Jatuh | 100% | 98% | 98% | 97% | 96% | 98% | 98% | 98% | 99% | 99% | 99% | 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% | 99% | ||||||||||
