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 2022.
| No | NAMA INDIKATOR | STANDAR | JAN | FEB | MAR | APR | MEI | JUN | JUL | AGT | SEP | OKT | NOV | DES |
| 1 | Kepatuhan Kebersihan Tangan | ≥85% | 93.12% | 93% | 91% | 92% | 94% | 92% | 91% | 92% | 93% | 93% | 92% | 94% |
| 2 | Kepatuhan Penggunaan Alat Pelindung (APD) | 100% | 91.30% | 96% | 98% | 96% | 97% | 98% | 98% | 96% | 98% | 98% | 98% | 98% |
| 3 | Kepatuhan Identitas Pasien | 100% | 99% | 99% | 98% | 82% | 95% | 98% | 99% | 99% | 99% | 99% | 100% | 97% |
| 4 | Waktu tanggap Emergensi Sectio Secaria | ≥80% | Belum dilakukan pengukuran | 0% | Tidak ada tindakan section secaria pada kasus emergency | |||||||||
| 5 | Waktu Tunggu Rawat Jalan | ≥80% | 78.49% | 76% | 76% | 17% | 17% | 18% | 16% | 15% | 56% | 41% | 43% | 36% |
| 6 | Penundaan Operasi Elekktif | ≤5% | 6.61% | 5.45% | 3% | 3% | 13% | 2% | 19% | 18% | 20% | 20% | 9% | 15% |
| 7 | Kepatuhan Waktu Visite Dokter Penggung Jawab Pelayanan | ≥80% | 69.65% | 73.93% | 76% | 78% | 79% | 76% | 75% | 72% | 74% | 70% | 77% | 77% |
| 8 | Pelaporan Hasil Kritis Laboratorium | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| 9 | Kepatuhan Penggunaan Formalium Nasional | ≥80% | 100% | 99.99% | 99.76% | 99.78% | 99.78% | 99.82% | 99.88% | 99.53% | 99.95% | 99.95% | 99.60% | 99.60% |
| 10 | Kepatuhan Terhadap Clinical Pathway | ≥80% | 53% | 60% | 35% | 53% | 63% | 60% | 67% | 60% | 50% | 90% | 79% | 59% |
| 11 | Kepatuhan Upaya pencegahan Risiko Pasien Jatuh | 100% | 98.73% | 99.59% | 99% | 100% | 98% | 100% | 100% | 100% | 100% | 99% | 99% | 99.70% |
| 12 | Kecepatan Waktu Tanggap terhadap Komplain | ≥80% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | Tidak ada Komplaim | 100% | ||
| 13 | Kepuasan Pasien | ≥76,61% | 98,10% | 83,90% | ||||||||||
