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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 2023.
| NO | NAMA INDIKATOR | STANDAR | JAN | FEB | MAR | APR | MEI | JUN | JUL | AGUST | SEP | OKT | NOV | DES |
| 1 | Kapatuhan Kebersihan Tangan | ≥85% | 98% | 92% | 94% | 93% | 94% | 95% | 95% | 94.96% | 94% | 92% | 92% | 92% |
| 2 | Kepatuhan Penggunaan Alat Pelindung Diri (APD) | 100% | 97% | 98% | 98% | 99.59% | 97% | 97% | 98% | 99% | 98% | 99.51% | 98% | 98% |
| 3 | Kepatuhan Identitas Pasien | 100% | 98% | 98% | 99% | 100% | 99% | 97% | 97 | 99.6% | 98% | 98% | 99% | 995 |
| 4 | Waktu Tanggap Emergency Sectio Secaria | ≥80% | 0% | 0% | 100% | 100% | Tidak ada kasus emergency SC | 100% | 50% | 0% | 100% | Tidak Ada kasus emergency SC | 0% | 0% |
| 5 | Waktu Tungu Rawat Jalan | ≥80% | 64% | 72% | 71% | 76% | 79% | 70% | 63% | 62% | 67% | 74% | 76% | 73% |
| 6 | Penundaan Operasi Elektif | ≤5% | 14% | 18% | 15% | 14% | 12% | 10% | 8% | 11% | 10% | 8% | 16% | 12% |
| 7 | Kepatuhan Waktu Visite Dokter Penanggung Jawab Pasien | ≥80% | 73% | 77% | 72% | 72% | 69% | 65% | 72% | 71% | 71% | 70% | 68% | 65% |
| 8 | Pelaporan Hasil Kritis Laboratorium | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| 9 | Kepatuhan Penggunaan Formalium Nasional | ≥80% | 99% | 99% | 99% | 99% | 99% | 99% | 99% | 97% | 98% | 93% | 92% | 95% |
| 10 | Kepatuhan Terhadap Clinical Pathway | ≥80% | 84% | 85% | 78% | 84% | 86% | 96% | 91% | 90% | 89% | 91% | 81% | 86% |
| 11 | Kepatuhan Upaya Pencegahan Risiko Pasien Jatuh | 100% | 99% | 100% | 99.56% | 99.46% | 96.39% | 95.85% | 89.35% | 94% | 98% | 98% | 99% | 98% |
| 12 | Kecepatan Waktu Tanggap terhadap Komplain | ≥80% | 100% | 100% | 100% | Tidak ada komplain | 100% | 100% | 100% | 100% | 100% | 100% | Tidak ada komplain | 100% |
| 13 | Kepuasan Pasien | ≥76.61% | 98.98% | 99% | ||||||||||
