Wa0000

Gross Date Rate ( GDR ) ( ≤ 40 permill )
jan 39 20.14
feb 39 15.64
mar 39 14.07
Angka kematian pasien di UGD ( 0 % )

40
35
30
Standar
25
Capaian
20 20.14
15 15.64 14.07
10
5
0
jan feb mar

jan 39 20.14
feb 39 15.64
mar 39 14.07
apr 39 22.98
mei 39 22.98
juni 39 33.01
25
22.98 22.98
20.14
20
15 15.64
14.07
10 sta ndar
5 capai an
0
ja n fe b mar apr mei juni

jan 39 20.14
feb 39 15.64
mar 39 14.07 40
apr 39 22.98 33.01
35
mei 39 22.98
30 28.14
jun 39 33.01
25 22.98 22.98 23
jul 39 28.14 20.14
20
aug 39 23.35 15.64
14.07
15
sep 39 27.66
10
5
0
jan feb mar a pr mei jun jul a

jan 39 20.14
feb 39 15.64
mar 39 14.07
apr 39 22.98
mei 39 22.98
jun 39 33.01
jul 39 28.14
aug 39 23.35
sep 39 27.66
oct 39 19.42
nov 39 25.42
des 39 29.19
DR ) ( ≤ 40 permill )
33.01
28.14 27.66
23.35
sta nda r
ca pai a n
jun jul aug s ep

Nett Date Rate ( NDR ) ( ≤ 25 permill )
jan 24.9 5.42
feb 24.9 8.28
mar 24.9 4.44
30
25
Standar
20 Capaian
15
10
8.28
5 5.42 4.44
0
jan feb mar

jan 24.9 5.42
feb 24.9 8.28
mar 24.9 4.44
apr 24.9 4.26
mei 24.9 4.26
juni 24.9 12.78

30
25
20
15
12.78
10
8.28
standar
5.425 4.44 4.26 4.26
ca pa i an
0
ja n feb mar apr mei juni
15
12.78
10
8.28
standar
5.425 4.44 4.26 4.26
ca pa i an
0

jan 24.9 5.42
feb 24.9 8.28
mar 24.9 4.44 30
apr 24.9 4.26
mei 24.9 4.26 25
jun 24.9 12.78 20

jul 24.9 5.67 standa
15 12.78 r
aug 24.9 9.66
9.66 9.22 capai a
sep 24.9 9.22 10 8.28 n
5.42 5.67
4.44 4.26 4.26
5
0
ja n feb mar a pr mei jun jul a ug s ep

jan 24.9 5.42
feb 24.9 8.28 Nett Date Rate ( NDR ) ( ≤ 25 permill )
mar 24.9 4.44 40
apr 24.9 4.26 12.78
35 9.66 9.22
mei 24.9 4.26 8.28
4.44 6.42 6.9
30 5.42 5.67
jun 24.9 12.78 4.26 4.26
jul 24.9 5.67 25
aug 24.9 9.66 20

sep 24.9 9.22 15
oct 24.9 6.42 10
nov 24.9 6.93
5
des 24.9 9.98
0
ja n feb mar a pr mei jun jul aug s ep oct nov
permill )
standa
r
9.66 9.22 capai a
n
a ug s ep
25 permill )
.66 9.22 9.98

6.42 6.93
capa
i an
stan
dar
s ep oct nov des
jan 0 6.1
feb 0 5.1
mar 0 2.6
7
6 6.1
Standar
5 5.1 Capaian
4
3
2.6
2
1
0
jan feb mar

jan 0 6.1
feb 0 5.1
mar 0 2.6
apr 0 2.9
mei 0 7.7
juni 0 1.7

9
8 7.7
7
6.1
6
5 5.1
4
3 2.9
2.6
2 1.7 sta nda r
1 capai a n
0
ja n feb ma r apr mei juni
5 5.1
4
3 2.9
2.6
2 1.7 sta nda r
1 capai a n
0

jan 0 6.1
feb 0 5.1
mar 0 2.6 9
apr 0 2.9 8 7.7
mei 0 7.7 7
6.1
jun 0 1.7 6 5.7
5.1
jul 0 0 5 stand
ar
aug 0 2.8 4
2.9 2.8 capa i
sep 0 5.7 3 2.6 an
2 1.7
1
0
0
ja n feb ma r apr mei jun jul aug s ep

jan 0 6.1
feb 0 5.1 Angka kematian pasien di UGD ( 0 % )
mar 0 2.6 9
apr 0 2.9 8
7.7
mei 0 7.7
7
jun 0 1.7
6 6.1
jul 0 0 5.7
5 5.1
aug 0 2.8
4
sep 0 5.7
3 2.6 2.9 2.8
oct 0 0
2
nov 0 2.9 1.7
des 0 6.8 1
0 0 0
jan feb mar apr mei jun jul a ug s ep oct no
GD ( 0 % )
5.7
stand
ar
2.8 capa i
an
aug s ep
sien di UGD ( 0 % )
6.8
5.7
2.8 2.9
capai
an
stand
0 0 ar
a ug s ep oct nov des
Waktu tunggu hasil pelayanan laboratorium kimia klinik, darah ≤ 140 meni
jan 90 94.23
feb 90 90.28 Waktu tunggu hasil pelayanan laboratorium kimia klinik, dar
mar 90 90.41 ≤ 140 menit ( 90 % )
95
94 94.23
93
92
91
90 90.28
89
88
87
jan feb
Waktu tunggu hasil pelayanan laboratorium kimia klinik, darah ≤ 140 m

jan 90 94.23 Waktu tunggu hasil pelayanan laboratorium kimia klinik
feb 90 90.28 ≤ 140 menit ( 90 % )
96
mar 90 90.41
94.23
94
apr 90 85.60
92
mei 90 91.09 91.09 91.4
90 90.28 90.41
juni 90 91.49
88
86 85.60
84
82
80
jan feb mar apr mei
Waktu tunggu hasil pelayanan laboratorium kimia klinik, darah ≤ 14

jan 90 94.23
Waktu tunggu hasil pelayanan laboratorium kimia
≤ 140 menit ( 90 % )
96
94.23
Waktu tunggu hasil pelayanan laboratorium kimia
feb 90 90.28
≤ 140 menit ( 90 % )
mar 90 90.41
apr 90 85.60 96
94.23
mei 90 91.09 94
jun 90 91.49 92 91.09 91.49

90.28 90.41 90.52
jul 90 90.52 90
aug 90 87.41 88
sep 90 95.00 86 85.60
84
82
80
jan feb mar apr mei jun jul
Waktu tunggu hasil pelayanan laboratorium kimia klinik, darah ≤ 14

jan 90 94.23
feb 90 90.28 Waktu tunggu hasil pelayanan laboratorium kimia klinik,
mar 90 90.41 ≤ 140 menit ( 90 % )
98
apr 90 85.60 96
mei 90 91.09 95.00
94 94.23
jun 90 91.49 92 90.41
91.09 91.49
jul 90 90.52 90 90.28 90.52
aug 90 87.41 88
87.41
sep 90 95.00 86 85.60
oct 90 96.90 84
nov 90 90.00 82
80
des 90 95.01
78
jan feb mar apr mei jun jul aug s ep o
arah ≤ 140 menit ( 90 % )
ium kimia klinik, darah

%)
Standar
Capaian
90.41
mar
k, darah ≤ 140 menit ( 90 % )

atorium kimia klinik, darah
90 % )
91.09 91.49
standa r
capai a n
mei juni
linik, darah ≤ 140 menit ( 90 % )
n laboratorium kimia klinik, darah

enit ( 90 % )
95.00
n laboratorium kimia klinik, darah
enit ( 90 % )
95.00
91.49
90.52
standa r
87.41 capa i a n
jun jul aug s ep
linik, darah ≤ 140 menit ( 90 % )
atorium kimia klinik, darah

0%)
96.90
95.00 95.01
90.52 90.00
standa r
87.41
capai a n
aug s ep oct nov des

Waktu tunggu pelayanan foto thorax rawat jalan≤ 3 jam ( 90 % )
jan 90 7.41
feb 90 7.81
mar 90 12
Waktu tunggu pelayanan foto thorax rawat jalan

≤ 3 jam ( 90 % )
100
90
80 Standar
70 Capaian
60
50
40
30
20
10 7.41 7.81 12
0
jan feb mar

≤ 3 jam ( 90 % )
jan 90 7.41
feb 90 7.81
mar 90 12
apr 90 10.99
mei 90 14.12
juni 90 16.67

100 ≤ 3 jam ( 90 % )
90 jan; 90 feb; 90 mar; 90 apr; 90 mei; 90 90
80
70
60
50
40
30
20 14.12 16.67 standar
12 10.99
7.41
10 7.81
ca pa i an
0
50
40
30
20 14.12 16.67 standar
12 10.99
7.41
10 7.81
ca pa i an
0

≤ 3 jam ( 90 % )
jan 90 7.41
feb 90 7.81
mar 90 12 100 ≤ 3 jam ( 90 % )
apr 90 10.99 90 90 feb;9090 apr;
9090 jun;
9090 aug;
9090
mei 90 14.12 80
jun 90 16.67 70
jul 90 13.13 60
standa
50 r
aug 90 15.28
40 capai a
sep 90 13.85 30 n
20 14.12 16.67 15.28 13.85
12 10.99 13.13
7.41
10 7.81
0

≤ 3 jam ( 90 % )
jan 90 7.41
feb 90 7.81 Waktu tunggu pelayanan foto thorax rawat jalan
mar 90 12 ≤ 3 jam ( 90 % )
100
apr 90 10.99 90 90 feb;90
90 apr;90
90 jun;90
90 aug;90
90
mei 90 14.12 80
jun 90 16.67 70
jul 90 13.13 60
aug 90 15.28 50
sep 90 13.85 40
oct 90 19.74 30
nov 90 18.13 20 12 14.12 16.67 15.28 13.85
10.99 13.13
des 90 19.74 10 7.41 7.81
0
jan feb mar a pr mei jun jul a ug s ep oc
( 90 % )
ax rawat jalan
090 aug;
9090
standa
r
capai a
n
3 15.28 13.85
a ug s ep
foto thorax rawat jalan

90 % )
90
0 aug;90
90 oct; 90 nov;90
90
standa r
capai a n
19.74 18.13 19.74

3.13 15.28 13.85

Angka reject hasil rontgen ≤ 2 %
jan 1.9 0.4
feb 1.9 0.24
mar 1.9 0.27
2
1.8
1.6 Standar
1.4 Capaian
1.2
1
0.8
0.6
0.4 0.4
0.2 0.24 0.27
0
jan feb mar

jan 1.9 0.4
feb 1.9 0.24
mar 1.9 0.27
apr 1.9 0.48
mei 1.9 0.24
juni 1.9 0.32

2
1.8
1.6
1.4
1.2
1
0.8
0.6
0.48 standar
0.4
0.27 0.32
0.2 0.24 0.24 ca pa i an
0
1
0.8
0.6
0.48 standar
0.4
0.27 0.32
0.2 0.24 0.24 ca pa i an
0

jan 1.9 0.4
feb 1.9 0.24
mar 1.9 0.27 2
apr 1.9 0.48 1.8
mei 1.9 0.24 1.6
jun 1.9 0.32 1.4
0.42 1.2
jul 1.9 standa
1 r
aug 1.9 0.22
0.8 capai a
sep 1.9 0.24 0.6 0.48 n
0.4 0.42
0.4 0.27 0.32
0.24 0.24 0.22 0.24
0.2
0

jan 1.9 0.4
feb 1.9 0.24 Angka reject hasil rontgen ≤ 2 %
mar 1.9 0.27 2
apr 1.9 0.48 1.8
mei 1.9 0.24 1.6
jun 1.9 0.32 1.4
jul 1.9 0.42 1.2
aug 1.9 0.22 1
sep 1.9 0.24 0.8
oct 1.9 0.41 0.6
0.48
nov 1.9 0.39 0.4 0.4 0.27 0.42
0.32
0.2 0.24 0.24 0.22 0.24
des 1.9 0.23
0
≤2%
standa
r
capai a
n
0.22 0.24
a ug s ep
l rontgen ≤ 2 %
standa r
capai a n
42 0.41 0.39
0.22 0.24 0.23

BULAN Jan feb Mar Apr May Jun Jul Aug Sep Oct Nov
TARGET 1 1 1 1 1 1 1 1 1 1 1
Angka kejadian kematian di meja

0 0 0
operasi ( ≤ 1 % )
Angka kejadian kematian di meja operasi ( ≤ 1 % )

1
1
1 1
0.8
0.6 Target
0.4 Capaian
0.2
0
Jan 0
feb 0
Mar 0
TARGET 0 0 0 0 0 0 0 0 0 0 0
Insiden tertinggalnya benda asing
pada tubuh pasien setelah opearsi
(0%)
0 0 0
Insiden tertinggalnya benda asing pada tubuh pasien setelah opearsi ( 0 % )

1
0.9
0.8
0.7
0.6 Target
0.5
0.4 Capaian
0.3
0.2
0.1
0
0 0
Jan 0feb0
0 0
Mar
TARGET 6 6 6 6 6 6 6 6 6 6 6
Komplikasi anasthesi karena
overdosis , reaksi anastesi dan
0 0 0
salah penempatan anasthesi
endotracheal Tube ( ≤ 6 % )
Komplikasi anasthesi karena overdosis , reaksi

6 anastesi dan salah penempatan anasthesi endotracheal Tube ( ≤ 6 % )
6 6
6
5
4
Target
3
Capaian
2
1
0
Jan0
feb0
Mar0
TARGET 100 100 100 100 100 100 100 100 100 100 100
Tidak adanya kejadian salah sisi (
100 100 100
100 % )
Tidak adanya kejadian salah sisi ( 100 % )

100
80
60 Target
40 Capaian
20
0
Jan
feb
Mar
TARGET 100 100 100 100 100 100 100 100 100 100 100
Tidak adanya kejadadian salah
orang ( 100 % ) 100 100 100
Tidak adanya kejadadian salah orang ( 100 % )

100100 100100 100 100
100
80
60 Target
40 Capaian
20
0
80
60 Target
40 Capaian
20
0
Jan
feb
Mar
TARGET 0 0 0 0 0 0 0 0 0 0 0
Kejadian salah tindakan pada
0 0 0
operasi ( 0 % )
Kejadian salah tindakan pada operasi ( 0 % )

1
0.8
0.6 Target
0.4 Capaian
0.2
0
0 0
Jan 0feb0
0 0
Mar
Dec
1
Dec
0
Dec
6
Dec
100
Dec
100
Dec
0
BULAN Jan feb Mar Apr Mei Jun Jul Aug Sep Oct Nov
TARGET 1 1 1 1 1 1 1 1 1 1 1

0 0 0 0 0 0
operasi ( ≤ 1 % )

1
1
1 1
1
1
0.8 1
0.6
0.4
0.2
0 standa r
Jan 0 ca pai a n
feb0
Mar
0
Apr
0
Mei0
Jun0
TARGET 0 0 0 0 0 0 0 0 0 0 0
(0%)
0 0 0 0 0 0
1
0.9
0.8
0.7
0.6
0.5 Standar
0.4
0.3 capa i an
0.2
0.1
0
Jan
0 0 0feb 0 Mar
0 0 Apr
0 0 Mei
0 0 Jun
0 0
TARGET 6 6 6 6 6 6 6 6 6 6 6
0 0 0 0 0 0
Komplikasi anasthesi karena overdosis , reaksi anastesi dan salah penempatan anasthesi endotracheal Tube ( ≤ 6 % )
6 6 6 6 6 6
6
5
4
standar
3
capaian
2
1
0
Jan 0 feb 0 Mar0 Apr 0 Mei 0 Jun 0
TARGET 100 100 100 100 100 100 100 100 100 100 100
100 100 100 100 100 100
100 % )
100 100
Tidak
100 100
adanya kejadian100salah
100 100 100
sisi100
( 100
100
%) 100 100
100
90
80
70
60
50
40
30 standar
20 capa i an
10
0
Jan feb Mar Apr Mei Jun
TARGET 100 100 100 100 100 100 100 100 100 100 100
orang ( 100 % ) 100 100 100 100 100 100

100 100
100 100
100 100 100
100 100
100 100
80 100 100
60
40
20
0 standa r
Ja n capa i a n
feb
Ma r
Apr
100 100
100 100
100 100
80 100 100
60
40
20
0 standa r
Ja n capa i a n
feb
Ma r
Apr
Mei
Jun
TARGET 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0
operasi ( 0 % )
1
0.9
0.8
0.7
0.6
0.5 standar
0.4
0.3 capai an
0.2
0.1
0
0Jan 0 0feb 0 Ma
0 r0 0Apr 0 Mei
0 0 0Jun 0
Dec
1
standa r
ca pai a n
Jun0
Dec
0
Dec
6
cheal Tube ( ≤ 6 % )
Dec
100
standar
capa i an
Dec
100
100 100
standa r
capa i a n
100 100
standa r
capa i a n
Jun
Dec
0
standar
capai an
0
TARGET 1 1 1 1 1 1 1 1 1 1 1

0 0 0 0 0 0 0 0 0
operasi ( ≤ 1 % )

1 1 1 1 1 1 1 1 1
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
Jan0 feb0 Ma r0 Apr0 Mei0 Jun0 Jul0 Aug0 Sep0
standa r capai a n
TARGET 0 0 0 0 0 0 0 0 0 0 0
(0%)
0 0 0 0 0 0 0 0 0

1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
Ja
0 n0 feb
0 0 Mar
0 0 Apr
0 0 Mei
0 0 Jun
0 0 Jul
0 0 Aug
0 0 Sep
0 0
standa r ca pai a n
TARGET 6 6 6 6 6 6 6 6 6 6 6
0 0 0 0 0 0 0 0 0
Komplikasi anasthesi karena overdosis , reaksi anastesi dan salah penempatan anasthesi endotracheal Tube ( ≤ 6 % )
6 6 6 6 6 6 6 6 6
6
5
4
3
2
1
0
Jan 0 feb 0 Mar0 Apr0 Mei0 Jun 0 Jul 0 Aug0 Sep0
standar capaian
TARGET 100 100 100 100 100 100 100 100 100 100 100
100 100 100 100 100 100 100 100 100
100 % )

100100 100100 100100 100100 100100 100100 100100 100100 100100
100
90
80
70
60
50
40
30
20
10
0
Ja n feb Mar Apr Mei Jun Jul Aug Sep
standar ca pai a n
TARGET 100 100 100 100 100 100 100 100 100 100 100
orang ( 100 % ) 100 100 100 100 100 100 100 100 100

100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
100
80
60
40
20
0
100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
100
80
60
40
20
0
Ja n feb Mar Apr Mei Jun Jul Aug Sep
sta ndar capa i an
TARGET 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
operasi ( 0 % )

1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
Jan
0 0 feb
0 0 Mar
0 0 Apr
0 0 Mei
0 0 Jun
0 0 0Jul 0 Aug
0 0 Sep
0 0
standar capa i an
Dec
1
Dec
0
si ( 0 % )
0ep0
Dec
6
al Tube ( ≤ 6 % )
Dec
100
100100
Sep
Dec
100
100 100
100 100
Sep
Dec
0
Sep
0 0
TARGET 1 1 1 1 1 1 1 1 1 1 1

0 0 0 0 0 0 0 0 0 0 0
operasi ( ≤ 1 % )

1 1 1 1 1 1 1 1 1 1 1 1
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
Ja n 0 feb 0 Mar0 Apr0 Mei0 Jun0 Jul 0 Aug0 Sep0 Oct0 Nov0 De
standa r ca pai a n
TARGET 0 0 0 0 0 0 0 0 0 0 0
(0%)
0 0 0 0 0 0 0 0 0 0 0
Insiden tertinggalnya benda asing pada tubuh pasien setelah opearsi

(0%)
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
Jan
0 0 feb
0 0 Mar
0 0 Apr
0 0 Mei
0 0 Jun
0 0 Jul
0 0 Aug
0 0 Sep
0 0 Oct
0 0 Nov
0 0 Dec
0 0
standa r ca pai an
TARGET 6 6 6 6 6 6 6 6 6 6 6
0 0 0 0 0 0 0 0 0 0 0
Komplikasi
6
anasthesi
6
karena
6
overdosis
6
, reaksi
6
anastesi
6
dan salah
6
penempatan
6
anasthesi
6
endotracheal
6 6
Tube6( ≤ 6 %
6
5
4
3
2
1
0
Jan0 feb0 Ma r0 Apr0 Mei0 Jun0 Jul 0 Aug0 Sep0 Oct0 Nov0 Dec0
standa r ca pai a n
TARGET 100 100 100 100 100 100 100 100 100 100 100
100 100 100 100 100 100 100 100 100 100 100
100 % )

100100 100100 100100 100100 100100 100100 100100 100100 100100 100100 100100
100
80
60
40
20
0
Jan feb Mar Apr Mei Jun Jul Aug Sep Oct Nov
standar capai a n
TARGET 100 100 100 100 100 100 100 100 100 100 100
orang ( 100 % ) 100 100 100 100 100 100 100 100 100 100 100

100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
100
90
80
70
60
50
40
30
20
10
0
Ja n feb Mar Apr Mei Jun Jul Aug Sep Oct
90
80
70
60
50
40
30
20
10
0
sta nda r capa i a n
TARGET 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
operasi ( 0 % )

1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
Ja
0 n0 feb
0 0 Mar
0 0 Apr
0 0 Mei
0 0 Jun
0 0 0Jul 0 Aug
0 0 Sep
0 0 Oct
0 0
standa r ca pai a n
Dec
1
1%)
1 1 1
p0 Oct0 Nov0 Dec0
Dec
0
opearsi
Oct
0 0 Nov
0 0 Dec
0 0
Dec
6
0
esi endotracheal
6 6
Tube6( ≤ 6 % )
Oct0 Nov0 Dec0
Dec
100
100
%)
0 100100 100100 100100 100100
Sep Oct Nov Dec
Dec
100
100
100 % )
100 100 100 100 100 100 100 100 100
ug Sep Oct Nov Dec

ug Sep Oct Nov Dec
Dec
0
0
(0%)
ug0 Sep
0 0 Oct
0 0 Nov
0 0 Dec
0 0
BULAN Jan feb Mar Apr May Jun Jul Aug
TARGET 100 100 100 100 100 100 100 100
Angka kepatuhan penulisan resep sesuai

98 97.97 97.87
formularium ( 100 % )
Angka kepatuhan penulisan resep sesuai formularium ( 100 % )

100.5
100 100 100 100
99.5
99 Target
98.5 Capaian
98 97.84 97.97 97.87
97.5
97
96.5
Jan feb Mar

TARGET 80 80 80 80 80 80 80 80
Angka waktu tunggu pelayanan non obat

47.4 56.93 47.28
racikan ≤ 30 menit ( 80 % )
Angka waktu tunggu pelayanan non obat racikan ≤ 30 menit ( 80 % )

90
80 80 80 80
70
60 56.93 Target
50 47.36 47.28 Capaian
40
30
20
10
0
Jan feb Mar

TARGET 80 80 80 80 80 80 80 80
Angka waktu tunggu pelayanan obat racikan
90 85.99 83.67
≤ 60 menit ( 80 % )
Angka waktu tunggu pelayanan obat racikan ≤ 60 menit ( 80 % )

92
90 89.63
88
86 85.99
84 83.67 Target
82 Capaian
80 80 80 80
78
76
74
Jan feb Mar

TARGET 0 0 0 0 0 0 0 0
kesalahan pemberian obat di instalasi
0 0 0
farmasi (0 % )
kesalahan pemberian obat di instalasi farmasi (0 % )

1
0.9
0.8
0.7
Target
0.6
0.5 Capaian
0.4
0.3
0.2
0.1
0 0 0 0
Jan feb Mar

TARGET 0 0 0 0 0 0 0 0
Kejadian stok obat esensial kosong (0 %) 1.67 1.33 1.44
Kejadian stok obat esensial kosong (0 %)

1.8
1.6 1.67
1.4 1.44
1.33
1.2
Target
1
Capaian
0.8
0.6
0.4
0.2
0 0 0 0
1.4 1.33
1.2
Target
1
Capaian
0.8
0.6
0.4
0.2
0 0 0 0
Jan feb Mar
Sep Oct Nov Dec
100 100 100 100
Sep Oct Nov Dec

80 80 80 80
Sep Oct Nov Dec

80 80 80 80
Sep Oct Nov Dec
0 0 0 0
Sep Oct Nov Dec

0 0 0 0
BULAN Jan feb Mar Apr Mei Jun Jul Aug
TARGET 100 100 100 100 100 100 100 100

97.8 98 97.9 97.9 97.88 97.8

100 100 100 100 100 100 100
99.5
99
98.5
98 97.97 97.89 97.88

97.84 97.87 97.8
97.5 sta
97 cap
96.5
Jan feb Ma r Apr Mei Jun

TARGET 0 0 0 0 0 0 0 0

47.4 56.9 47.3 55.1 53.15 66.01
70
66.01
60 56.93 55.08 53.15
50 47.36 47.28
40
30
20 Stand
10 ar
capa i
0 0 0 0 0 0 0 an
Ja n feb Mar Apr Mei Jun

TARGET 80 80 80 80 80 80 80 80
Angka waktu tunggu pelayanan obat
90 86 84 86 89.69 78.33

92
90 89.63 89.69
88
86 85.99 85.92
84 83.67
82
80 80 80 80 80 80 80
78 78.33 stan
76 r
74 ca pa
n
72

TARGET 0 0 0 0 0 0 0 0
0 0 0 0 0.02 0.02
farmasi ( 0 % )
kesalahan pemberian obat di instalasi farmasi ( 0 % )

0.025
0.02 0.02 0.02
0.015
0.01
sta
0.005
cap
n
0 0 0 0 0 0 0
Jan feb Mar Apr Mei Jun

TARGET 0 0 0 0 0 0 0 0
Kejadian stok obat esensial kosong ( 0 % ) 1.67 1.33 1.44 0.44 0.44 0.78
Kejadian stok obat esensial kosong ( 0 % )

1.8
1.6 1.67
1.4 1.44
1.33
1.2
1
0.8 0.78
0.6
0.44 0.44 sta
0.4 r
1.8
1.6 1.67
1.4 1.44
1.33
1.2
1
0.8 0.78
0.6
0.44 0.44 sta
0.4 r
0.2 cap
0 0 0 0 0 0 0 n
Sep Oct Nov Dec
100 100 100 100
um ( 100 % )
100 100
97.88 97.8
standar
capa i an
ei Jun
Sep Oct Nov Dec

0 0 0 0
%)
66.01
Stand
ar
capa i
0 an
Jun
Sep Oct Nov Dec

80 80 80 80
menit ( 80 % )
.69
80
78.33 standa
r
ca pai a
n
Jun
Sep Oct Nov Dec

0 0 0 0
(0%)
0.02 0.02
standar
capa i a
n
0 0
ei Jun
Sep Oct Nov Dec

0 0 0 0
0.78
0.44 standa
r
0.78
0.44 standa
r
capa i a
0 0 n
ei Jun
BULAN Jan feb Mar Apr Mei Jun Jul Aug Sep
TARGET 100 100 100 100 100 100 100 100 100

98 98 98 98 98 97.8 98 98 97.8

100.5
100 100 feb; 100 Mar; 100 Apr; 100 Mei; 100 Jun; 100 Jul; 100 Aug; 100
100
99.5
99
98.5
98 97.97 97.87 97.89 97.88 97.92
97.84 97.8 97.71 97.82
97.5
97
96.5
Ja n feb Ma r Apr Mei Jun Jul Aug Sep
sta nda r ca pai a n
TARGET 80 80 80 80 80 80 80 80 80

47 57 47 55 53 66 69 58 60.3

90
80 80 feb; 80 Mar; 80 Apr; 80 Mei; 80 Jun; 80 Jul; 80 Aug; 80 80
70 69.28
66.01
60 56.93 58.21 60.31
55.08 53.15
50 47.36 47.28
40
30
20
10
0
Jan feb Mar Apr Mei Jun Jul Aug Sep
standar capa ia n
TARGET 80 80 80 80 80 80 80 80 80
90 86 84 86 90 78 75 80 75.4

95
89.63 89.69
90
85.99 85.92
85 83.67
80.33
80 80 feb; 80 Mar; 80 Apr; 80 Mei; 78.33
80 Jun; 80 Jul; 80 Aug; 80 80
75.34 75.38
75
70
65
TARGET 0 0 0 0 0 0 0 0 0
0 0 0 0 0.02 0.02 0 0 0
farmasi ( 0 % )

0.025
0.02 0.02 0.02
0.015
0.01
0.005
0 0 0 feb; 0 0 Apr; 0 Mei; 0 Jun; 0 0 0

Jan feb Mar Apr Mei Jun Jul Aug
standa r capa i a n
TARGET 0 0 0 0 0 0 0 0 0
Kejadian stok obat esensial kosong ( 0
1.67 1.33 1.44 0.44 0.44 0.78 0.44 1.11 1
%)

1.67
1.8
1.6 1.44
1.4 1.33
1.2 1.11
1
1 0.78
0.8
0.6 0.44 0.44 0.44
0.4
0.2
0 0 0 0 0 0 0 0 0
1.67
1.8
1.6 1.44
1.4 1.33
1.2 1.11
1
1 0.78
0.8
0.6 0.44 0.44 0.44
0.4
0.2
0 0 0 0 0 0 0 0 0
Ja n feb Mar Apr Mei Jun Jul Aug Se
Oct Nov Dec
100 100 100
%)
; 100 Aug; 100

100
97.71 97.82
Aug Sep
Oct Nov Dec

80 80 80
0%)
Jul; 80 Aug; 80 80
58.21 60.31
Aug Sep
Oct Nov Dec

80 80 80
)
80.33
Jul; 80 Aug; 80 80
75.38
Aug Sep
Oct Nov Dec

0 0 0
0%)
0 0 0 0
Jul Aug Sep
Oct Nov Dec

0 0 0
1.11
1
0.44
0 0 0
1.11
1
0.44
0 0 0
Jul Aug Sep
BULAN Jan feb Mar Apr Mei Jun Jul Aug Sep Oct
TARGET 100 100 100 100 100 100 100 100 100 100
Angka kepatuhan penulisan resep

98 98 98 98 98 97.8 98 98 98 98
sesuai formularium ( 100 % )

100.5
100 100 100 100 100 100 100 100 100 100 100
99.5
99
98.5
97.84 97.97 97.87 97.89 97.88 97.92 97.82 97
98 97.8 97.71 97.74
97.5
97
96.5
Ja n feb Mar Apr Mei Jun Jul Aug Sep Oct N
standar capa i an
TARGET 80 80 80 80 80 80 80 80 80 80
Angka waktu tunggu pelayanan non

47 57 47 55 53 66 69 58 60 62
obat racikan ≤ 30 menit ( 80 % )

90
80 80 80 80 80 80 80 80 80 80 80 80
66.01 69.28
70 62.27
56.93 58.21 60.31 59.98
60 55.08 53.15
47.36
50 47.28
40
30
20
10
0
Jan feb Mar Apr Mei Jun Jul Aug Sep Oct Nov
standa r ca pai an
TARGET 80 80 80 80 80 80 80 80 80 80
90 86 84 86 90 78 75 80 75 70

100
89.63 89.69
90 85.99 83.67 85.92
78.33 80.33
80 80 80 80 80 80 80 75.34
80 80 75.38
80 80
70.23
70 6
60
50
40
30
20
10
0
standar capa i an
TARGET 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0.02 0.02 0 0 0 0.02
farmasi ( 0 % )

0.025
0.02 0.02 0.02

0.015
0.01
0.005
0 00 00 00 00 0 0 00 00 00
Ja n feb Ma r Apr Mei Jun Jul Aug Sep
sta nda r ca pa ia n
TARGET 0 0 0 0 0 0 0 0 0 0
Kejadian stok obat esensial kosong ( 0
1.67 1.33 1.44 0.44 0.44 0.78 0.44 1.11 1 1.22
%)

1.8
1.67
1.6 1.44
1.4 1.33
1.2 1.11
1
1
0.78
0.8
0.6 0.44 0.44 0.44
0.4
0.2
0 0 0 0 0 0 0 0 0 0
1.6 1.44
1.4 1.33
1.2 1.11
1
1
0.78
0.8
0.6 0.44 0.44 0.44
0.4
0.2
0 0 0 0 0 0 0 0 0 0
standa r capa i a n
Nov Dec
100 100
98 98
rium ( 100 % )
100 100 100 100
97.82 97.74 97.86 97.77
Sep Oct Nov Dec
Nov Dec
80 80
60 55
nit ( 80 % )
80 80 80 80
0.31 62.27 59.98
55.34
ep Oct Nov Dec
Nov Dec
80 80
65 69
( 80 % )
75.38
80 80 80 80
70.23 68.88
65.34
Sep Oct Nov Dec
Nov Dec
0 0
0 0.01
asi ( 0 % )
0.02
0.01
00 00 0 00 0
Aug Sep Oct Nov Dec
Nov Dec
0 0
0.78 1.33
g( 0% )
1.33
1.22
1.11
1
0.78
0 0 0 0 0
Aug Sep Oct Nov Dec
1.33
1.22
1.11
1
0.78
0 0 0 0 0
Aug Sep Oct Nov Dec
n
jan 100 90.4
feb 100 90.17
mar 100 80.84
angka kelengkapan pengisian rekam medis 24 jam setelah selesai pelayanan ( 100 % )
120
100
90.4 90.17 Standar
80 80.84Capaian
60
40
20
0
jan feb mar
jan 100 90.4

feb 100 90.17
mar 100 80.84
apr 100 89.91
mei 100 93.55
juni 100 95.07
angka kelengkapan pengisian rekam medis 24 jam setelah selesai pelayanan

120
( 100 % )
100
93.55 95.07
90.4 90.17 89.91
80 80.84
60
40
standar
20
ca pa i an
0
60
40
standar
20
ca pa i an
0
jan 100 90.4

feb 100 90.17 angka kelengkapan pengisian rekam medis 24 jam setelah selesai pelayana
mar 100 80.84 120
apr 100 89.91
100 93.55 95.07 93.86 92
mei 100 93.55 90.4 90.17 89.91 89.11
80.84
jun 100 95.07 80
jul 100 89.11
60
aug 100 93.86
sep 100 92.35 40
20
0
ja n feb mar a pr mei jun jul a ug se
jan 100 90.4

feb 100 90.17 angka kelengkapan pengisian rekam medis 24 jam setelah selesa
mar 100 80.84 ( 100 % )
120
apr 100 89.91
mei 100 93.55 100
93.55 95.07 93.86 92.35
90.4 90.17 80.84 89.91 89.11
jun 100 95.07
80
jul 100 89.11
aug 100 93.86 60
sep 100 92.35
40
oct 100 90.52
nov 100 87.15 20
des 100 91.56
0
an
standar
ca pa i an
standar
ca pa i an
setelah selesai pelayanan ( 100 % )
93.86 92.35
89.11
standa r
capai a n
jul a ug s ep
edis 24 jam setelah selesai pelayanan

%)
93.86 92.35 90.52 91.56

9.11 87.15
standa r
capai a n

jan 100 73.55
feb 100 73.23
mar 100 75.95
Angka kelengkapan inform consent setelah mendapat informasi yang jelas ( 100 % )
120
100
Standar
80 Capaian
73.55 73.23 75.95
60
40
20
0
jan feb mar
jan 100 73.55

feb 100 73.23
mar 100 75.95
apr 100 71.96
mei 100 65.88
juni 100 65.96
Angka kelengkapan inform consent setelah mendapat informasi yang jelas ( 100 % )
120
100 100 feb; 100 mar; 100 apr; 100 mei; 100 100
80
73.55 73.23 75.95
71.96
65.88 65.96
60
40
standar
20 capai an
0
73.55 73.23 71.96
65.88 65.96
60
40
standar
20 capai an
0
jan 100 73.55

feb 100 73.23 Angka kelengkapan inform consent setelah mendapat informasi yang jelas
mar 100 75.95 120
apr 100 71.96
mei 100 65.88 100 100 feb; 100 mar; 100 apr; 100 mei; 100 jun; 100 jul; 100 aug
jun 100 65.96 73.55
80 73.23 75.95 71.96
65.88 65.96 64.46
jul 100 64.46
60 50.76
aug 100 50.76 47
sep 100 47.06 40
20
0
ja n feb mar a pr mei jun jul a ug se
jan 100 73.55

feb 100 73.23 Angka kelengkapan inform consent setelah mendapat informasi yan
mar 100 75.95 120
apr 100 71.96
mei 100 65.88 100 100 feb; 100 mar; 100 apr; 100 mei; 100 jun; 100 jul; 100 aug; 100 sep
jun 100 65.96 75.95
80
jul 100 64.46 73.55 73.23 71.96
65.88 65.96 64.46
aug 100 50.76 60
sep 100 47.06 50.76
47.06
40
oct 100 62.43
nov 100 76.46 20
des 100 80.68
0
100 % )
100
standar
capai an
uni
standar
capai an
uni
dapat informasi yang jelas ( 100 % )
00 jun; 100 jul; 100 aug;100

100
64.46
50.76 standa r
47.06
capai a n
jul a ug s ep
mendapat informasi yang jelas ( 100 % )
100 jul; 100 aug; 100 sep; 100 oct; 100 nov;100
100
80.68
76.46
4.46 62.43
standa r
50.76
47.06 capai a n

BULAN Jan feb Mar Apr May Jun Jul
TARGET 60 60 60 60 60 60 60
Angka ketersediaan APD ( alat pelindung

95.85 95.85 95.85
diri ) di setiap instalasi/unit ( 60 % )
Angka ketersediaan APD ( alat pelindung diri ) di setiap instalasi/unit

( 60 % )
120
100 95.85 95.85 95.85
80 Target
Capaian
60 60 60 60
40
20
0
Jan feb Mar

TARGET 20 20 20 20 20 20 20
Angka kejadian Infeksi Saluran Kemih

0 0 0
( ISK) ( ≤ 20.5 /mill )
Angka kejadian Infeksi Saluran Kemih ( ISK)

( ≤ 20.5 /mill )
25
20 20 20 20
Target
15 Capaian
10
0 0 0 0
Jan feb Mar

TARGET 25 25 25 25 25 25 25
Angka infeksi jarum infus / Plebhitis ≤
0.26 0.68 0.58
25,05/mill
Angka infeksi jarum infus / Plebhitis ≤ 25,05/mill

30
25 25 25 25
20
Target
15 Capaian
10
5
0 0.26 0.68 0.58
Jan feb Mar

TARGET 100 100 100 100 100 100 100
Kepatuhan Hand Hygiene ( 100 % ) 85 85 85
Kepatuhan Hand Hygiene ( 100 % )

105
100
95 Target
90 Capaian
85 85 85 85
80
75
Jan feb Mar

TARGET 0 0 0 0 0 0 0
Ventilator Asssociated Pneumonie ( 0 % ) 7.6 0 0
Ventilator Asssociated Pneumonie ( 0 % )

8
7.6
7
6
5 Target
4 Capaian
3
2
1
0 0 0 0
Jan feb Mar
5 Target
4 Capaian
3
2
1
0 0 0 0
Jan feb Mar

TARGET 1.55 1.55 1.55 1.55 1.55 1.55 1.55
Angka Kejadian Infeksi Luka Operasi
0.5 0.62 0
( IDO ) ( ≤ 1,55% )
Angka Kejadian Infeksi Luka Operasi ( IDO ) ( ≤ 1,55% )

1.8
1.6 1.55 feb; 1.55 1.55
1.4
1.2
1
0.8
0.6 0.62
0.5
0.4
0.2
0 0
Ja n feb Ma r
Ta rget standar
Aug Sep Oct Nov Dec
60 60 60 60 60
5
Target
Capaian
Aug Sep Oct Nov Dec

20 20 20 20 20
Aug Sep Oct Nov Dec

25 25 25 25 25
Target
Capaian
Aug Sep Oct Nov Dec

100 100 100 100 100
Aug Sep Oct Nov Dec

0 0 0 0 0
Aug Sep Oct Nov Dec
1.55 1.55 1.55 1.55 1.55
TARGET 60 60 60 60 60 60 60

95.85 95.85 95.85 100 100 100
ChaAngka ketersediaan APD ( alat pelindung diri ) di setiap instalasi/unit ( 60 % )

120
100 95.85 95.85 95.85 100 100 100
80
60 60 feb; 60 Mar; 60 Apr; 60 May; 60 60

40
20
0
Jan feb Ma r Apr May Jun
Standa r Capai a n

TARGET 20 20 20 20 20 20 20

0 0 0 0 0 0
( ISK) ( ≤ 20.5 /mill )
Angka kejadian Infeksi Saluran Kemih ( ISK) ( ≤ 20.5 /mill )

25
20 20 feb; 20 Mar; 20 Apr; 20 May; 20 20
15
10
0 0 0 0 0 0 0
standa r capai a n

TARGET 25 25 25 25 25 25 25
0.26 0.68 0.58 0.6 0.64 0
25,05/mill

30
25 25 feb; 25 Mar; 25 Apr; 25 May; 25 25
20
15
10
0 0.26 0.68 0.58 0.6 0.64 0

Jan feb Mar Apr May Jun
standa r capa i an

TARGET 100 100 100 100 100 100 100
Kepatuhan Hand Hygiene ( 100 % ) 85 85 85 85 85 69.2

120
100 100 feb; 100 Mar; 100 Apr; 100 May; 100 100
80 85 85 85 85 85
69.16
60
40
20
0
standa r ca pai a n

TARGET 0 0 0 0 0 0 0
Ventilator Asssociated Pneumonie ( 0 % ) 7.6 0 0 0 0 0

8
7.6
7
6
5
4
3
2
1
0 0 0 0 0 0 0
standa r capa i an
5
4
3
2
1
0 0 0 0 0 0 0
standa r capa i an

TARGET 1.55 1.55 1.55 1.55 1.55 1.55 1.55
0.5 0.62 0 0.6 0 0
( IDO ) ( ≤ 1,55% )

1.8
1.6
1.4
1.2
1
0.8
0.6 0.62 0.6
0.5
0.4
0.2
0 0 0 0
standar capa ia n
Aug Sep Oct Nov Dec
60 60 60 60 60
Aug Sep Oct Nov Dec

20 20 20 20 20
Aug Sep Oct Nov Dec

25 25 25 25 25
Aug Sep Oct Nov Dec
100 100 100 100 100
Aug Sep Oct Nov Dec

0 0 0 0 0
Aug Sep Oct Nov Dec
1.55 1.55 1.55 1.55 1.55
TARGET 60 60 60 60 60 60 60

95.85 95.85 95.85 100 100 100 100
Angka ketersediaan APD ( alat pelindung diri ) di setiap instalasi/unit ( 60 % )

120
100 95.85 95.85 95.85 100 100 100 100 100 100
80
60
40
20
0
Jan feb Ma r Apr May Jun Jul Aug Sep
standa r capai a n

TARGET 20 20 20 20 20 20 20

0 0 0 0 0 0 0
( ISK) ( ≤ 20.5 /mill )

25
20 20 feb; 20 Mar; 20 Apr; 20 May; 20 Jun; 20 Jul; 20 Aug;20

20
15
10
0 0 0 0 0 0 0 0 0 0
Ja n feb Mar Apr May Jun Jul Aug Sep
sta nda r capai a n

TARGET 25 25 25 25 25 25 25
0.26 0.68 0.58 0.6 0.64 0 0.6
25,05/mill

30
25 25 feb; 25 Mar; 25 Apr; 25 May; 25 Jun; 25 Jul; 25 Aug;25
25
20
15
10
5
0 0.26 0.68 0.58 0.6 0.64 0 0.6 0 0
Jan feb Mar Apr May Jun Jul Aug Sep
sta nda r capa ia n

TARGET 100 100 100 100 100 100 100
Kepatuhan Hand Hygiene ( 100 % ) 85 85 85 85 85 69.2 72.5

120
100 100 feb; 100 Mar; 100 Apr; 100 May; 100 Jun; 100 Jul; 100 Aug; 100
100
80 85 85 85 85 85
69.16 72.5
65 66.6
60
40
20
0
standa r capa i an

TARGET 0 0 0 0 0 0 0
Ventilator Asssociated Pneumonie ( 0 % ) 7.6 0 0 0 0 0 0

8
7.6
7
6
5
4
3
2
1
0 0 0 0 0 0 0 0 0 0
sta nda r capai a n
5
4
3
2
1
0 0 0 0 0 0 0 0 0 0
sta nda r capai a n

TARGET 1.55 1.55 1.55 1.55 1.55 1.55 1.55
0.5 0.62 0 0.6 0 0 0.48
( IDO ) ( ≤ 1,55% )
Angka Kejadian Infeksi Luka Operasi ( IDO )

( ≤ 1,55% )
1.8
1.6 1.55 feb; 1.55 Mar; 1.55 Apr; 1.55 May; 1.55 Jun; 1.55 Jul; 1.55 Aug;1.55
1.55
1.4
1.2
1
0.8
0.62 0.67
0.6 0.6
0.5 0.48 0.5
0.4
0.2
0 0 0 0
standa r capa i a n
Aug Sep Oct Nov Dec
60 60 60 60 60
100 100
Aug Sep Oct Nov Dec

20 20 20 20 20
0 0
Aug Sep Oct Nov Dec

25 25 25 25 25
0 0
Aug Sep Oct Nov Dec

100 100 100 100 100
65 66.6
Aug Sep Oct Nov Dec

0 0 0 0 0
0 0
Aug Sep Oct Nov Dec
1.55 1.55 1.55 1.55 1.55
0.5 0.67
TARGET 60 60 60 60 60 60 60

95.85 95.85 95.85 100 100 100 100
Angka ketersediaan APD ( alat pelindung diri ) di setiap instalasi/unit

( 60 % )
120
100 95.85 95.85 95.85 100 100 100 100 100 100 100 100 100
80
60 60 60 60 60 60 60 60 60 60 60 60 60
40
20
0
Ja n feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
standar capa i an

TARGET 20 20 20 20 20 20 20

0 0 0 0 0 0 0
( ISK) ( ≤ 20.5 /mill )

25
20 20 feb; 20 Mar; 20 Apr; 20 May; 20 Jun; 20 Jul; 20 Aug; 20 Sep; 20 Oct;
15
10
0 0 0 0 0 0 0 0 0 0 0
Jan feb Mar Apr May Jun Jul Aug Sep Oct N
standa r ca pai a n

TARGET 25 25 25 25 25 25 25
0.26 0.68 0.58 0.6 0.64 0 0.6
25,05/mill

30
20
15
10
5
0 0.26 0.68 0.58 0.6 0.64 0 0.6 0 0 0
standa r ca pai a n

TARGET 85 85 85 85 85 85 85
Kepatuhan Hand Hygiene ( 100 % ) 85 85 85 85 85 69.2 72.5

100
90
85 85 feb; 8585 Mar; 85
85 Apr; 85
85 May; 85 Jun; 85 Jul; 85 Aug; 85 Sep; 85
81.7 Oc
80
70 69.16 72.5
65 66.6
60
50
40
30
20
10
0
Ja n feb Mar Apr May Jun Jul Aug Sep Oct

TARGET 0 0 0 0 0 0 0
Ventilator Asssociated Pneumonie ( 0 % ) 7.6 0 0 0 0 0 0

7.6
8
7
6
5
4
3
2
1
0
Jan
0 0feb0 0Mar
0 0Apr
0 0May
0 0 Jun
0 0 Jul
0 0Aug
0 0Sep
0 0Oct
0 0Nov
0 Dec
0 0
Standar Ca pai a n
4
3
2
1
0
Jan
0 0feb0 0Mar
0 0Apr
0 0May
0 0 Jun
0 0 Jul
0 0Aug
0 0Sep
0 0Oct
0 0Nov
0 Dec
0 0
Standar Ca pai a n

TARGET 1.55 1.55 1.55 1.55 1.55 1.55 1.55
0.5 0.62 0 0.6 0 0 0.48
( IDO ) ( ≤ 1,55% )

1.8
1.6 1.55 feb; 1.55 Mar; 1.55 Apr; 1.55 May; 1.55 Jun; 1.55 Jul; 1.55 Aug; 1.55 Sep; 1.55 Oc
1.4
1.2
1 1.07
0.8
0.6 0.62 0.6 0.67
0.5 0.48 0.5
0.4
0.2
0 0 0 0
Jan feb Mar Apr May Jun Jul Aug Sep Oct
standa r capa i a n
Aug Sep Oct Nov Dec
60 60 60 60 60
100 100 100 100 100
nit
0 100 100
60 60
Nov Dec
Aug Sep Oct Nov Dec

20 20 20 20 20
0 0 0 0 0
20.5 /mill )
Aug; 20 Sep; 20 Oct; 20 Nov; 20

20
0 0 0 0
Sep Oct Nov Dec
Aug Sep Oct Nov Dec

25 25 25 25 25
0 0 0 0.57 1.47
05/mill
Aug; 25 Sep; 25 Oct; 25 Nov; 25

25
0.57 1.47
0 0
Sep Oct Nov Dec
Aug Sep Oct Nov Dec

85 85 85 85 85
65 66.6 81.7 86.6 86.6
Aug; 85 Sep; 85 86.6 Nov; 85

86.6
81.7 Oct; 85 85
66.6
Sep Oct Nov Dec
Aug Sep Oct Nov Dec

0 0 0 0 0
0 0 0 0 0
%)
0Oct
0 0Nov
0 Dec
0 0
0Oct
0 0Nov
0 Dec
0 0
Aug Sep Oct Nov Dec

1.55 1.55 1.55 1.55 1.55
0.5 0.67 1.07 0 0.26
( ≤ 1,55% )
Aug; 1.55 Sep; 1.55 Oct; 1.55 Nov; 1.55

1.55
1.07
0.67
0.26
0
Sep Oct Nov Dec
TARGET 2.9 2.9 2.9 2.9 2.9 2.9 2.9
Rata-rata pasien kembali ke ICU dengan

2 0 0
diagnosa yang sama (≤ 3 % )
Rata-rata pasien kembali ke ICU dengan diagnosa yang sama (≤ 3 % )

3.5
3 2.9 2.9 2.9
2.5
2 2
1.5
1
0.5
0 0 0
Jan febTarget Mar
Capai an

TARGET 2.9 2.9 2.9 2.9 2.9 2.9 2.9

2 0 0 1 3 0

3.5
3 2.9 feb; 2.9 Mar; 2.9 Apr; 2.9 3 May; 2.9 2.9
2.5
2 2
1.5
1 1
0.5
0 0 0 0
Ja n feb Mar Apr May Jun

TARGET 2.9 2.9 2.9 2.9 2.9 2.9 2.9
2 0 0 1 3 0 2

3.5
3 3 3
2.5
2 2 2
1.5
1 1
0.5
0 0 0 0 0
standa r capa i a n

TARGET 2.9 2.9 2.9 2.9 2.9 2.9 2.9
2 0 0 1 3 0 2

3.5
3 2.9 feb; 2.9 Mar; 2.9 3
Apr; 2.9 May; 2.9 Jun; 2.9 Jul; 2.9 3
Aug; 2.9 Sep; 2.9 Oct
2.5
2 2 2 2
1.5
1 1
0.5
0 0 0 0 0
Jan feb Ma r Apr May Jun Jul Aug Sep Oct N
standar capa i an
Aug Sep Oct Nov Dec
2.9 2.9 2.9 2.9 2.9
Aug Sep Oct Nov Dec

2.9 2.9 2.9 2.9 2.9
3%)
May; 2.9 2.9
0
y Jun
Aug Sep Oct Nov Dec

2.9 2.9 2.9 2.9 2.9
0 3
(≤ 3 % )
0
Aug Sep
Aug Sep Oct Nov Dec

2.9 2.9 2.9 2.9 2.9
0 3 2 0 0
ng sama (≤ 3 % )
3
Aug; 2.9 Sep; 2.9 Oct; 2.9 Nov; 2.9
2.9
0 0
Sep Oct Nov Dec
TARGET 100 100 100 100 100 100 100
Perawat pemberi layanan hemodialisi

40 33.3 33.3
dengan sertifikat mahir ( 100 % )
Perawat pemberi layanan hemodialisi dengan sertifikat mahir ( 100 % )

120
100 100 100 100
80
60
40 40
33.3 33.3
20
0
Ja n feb Mar
Ta rget Capai a n

TARGET 100 100 100 100 100 100 100

40 33.3 33.3 33.3 33.3 33.3

120
100 100 feb; 100 Mar; 100 Apr; 100 May; 100 100
80
60
40 40
33.3 33.3 33.3 33.3 33.3
20
0

TARGET 100 100 100 100 100 100 100
40 33.3 33.3 33.3 33.3 33.3 33.3

120
100
80
60
40 40
33.3 33.3 33.3 33.3 33.3 33.3 33.3 33
20
0
standa r capa i a n

TARGET 100 100 100 100 100 100 100
40 33.3 33.3 33.3 33.3 33.3 33.3

120
80
60
40 40
33.3 33.3 33.3 33.3 33.3 33.3 33.3 33.3 33.3
20
0
standar capa i an
Aug Sep Oct Nov Dec
100 100 100 100 100
100
33.3
ar
Aug Sep Oct Nov Dec

100 100 100 100 100
0%)
May; 100 100
.3 33.3
Jun
Aug Sep Oct Nov Dec

100 100 100 100 100
33.3 33.3
100 % )
3.3 33.3 33.3
Aug Sep
Aug Sep Oct Nov Dec

100 100 100 100 100
33.3 33.3 33.3 50 50
at mahir ( 100 % )
Aug; 100 Sep; 100 Oct; 100 Nov; 100

100
50 50
33.3 33.3
Sep Oct Nov Dec

TARGET 100 100 100 100 100 100 100
Angka kecukupan adekuasi hemodialisa dari

35.51 54.75 64.24
Kt/V > 1,8 ( ≥ 90 % )
Angka kecukupan adekuasi hemodialisa dari Kt/V > 1,8 ( ≥ 90 % )

120
100 100 100 100
80
60 64.24
54.75
40 35.51
20
0
Ja n feb Mar
Ta rget Capai a n

TARGET 100 100 100 100 100 100 100

35.51 54.75 64.24 78.22 83.08 64.7
Kt/V > 1,8 ( ≥ 90 % )

120
100 100 feb; 100 Mar; 100 Apr; 100 May; 100 100
80 83.08
78.22
64.24 64.67
60
54.75
40 35.51
20
0
standar capaia n

TARGET 100 100 100 100 100 100 100
35.51 54.75 64.24 78.22 83.08 64.7 77.45
Kt/V > 1,8 ( ≥ 90 % )

120
100
80 78.22 83.08 77.45
68.86 71
60 64.24 64.67
54.75
40 35.51
20
0
Ja n feb Ma r Apr May Jun Jul Aug Sep
standa r capa i an

TARGET 100 100 100 100 100 100 100
35.51 54.75 64.24 78.22 83.08 64.7 77.45
Kt/V > 1,8 ( ≥ 90 % )

120
80 83.08
78.22 77.45 77.45
68.86 71.42
64.24 64.67
60
54.75
40 35.51
20
0
standar capa i an
Aug Sep Oct Nov Dec
100 100 100 100 100
100
64.24
ar
Aug Sep Oct Nov Dec

100 100 100 100 100
%)
May; 100 100

.08
64.67
Jun
Aug Sep Oct Nov Dec

100 100 100 100 100
68.86 71.42
90 % )
7.45
68.86 71.42
Aug Sep
Aug Sep Oct Nov Dec

100 100 100 100 100
68.86 71.42 77.45 68.9 71.42
> 1,8 ( ≥ 90 % )
Aug; 100 Sep; 100 Oct; 100 Nov; 100

100
77.45
71.42 68.86 71.42
Sep Oct Nov Dec

Angka pelaporan insiden keselamatan
1 0 0
pasien ( KTD, KNC, KTC, Sentinel )
Angka pelaporan insiden keselamatan pasien ( KTD, KNC, KTC, Sentinel )

1.2
1
1
0.8
0.6
0.4
0.2
0
Ja n 0
feb 0
Mar
Kejadi an

1 0 0 1 0 0
Angka pelaporan insiden keselamatan pasien (KTD, KNC, KTC, Sentinel)

1.2
1 1
1
0.8
0.6
0.4
0.2
0
Jan feb
0 Mar
0 Apr May
0 Jun
0
kejadian

1 0 0 1 0 0 0
1.2
1 1 1
1
0.8
0.6
0.4
0.2
0
Jan feb
0 Mar
0 Apr May
0 Jun
0 Jul
0 Aug
0 Sep
kejadi an

1 0 0 1 0 0 0

1.2
1 1 1
1
0.8
0.6
0.4
0.2
0
Jan feb
0 Mar
0 Apr May
0 Jun
0 Jul
0 Aug
0 Sep Oct
0 Nov
0
Keja di a n
Aug Sep Oct Nov Dec
NC, KTC, Sentinel )
0
Mar
Aug Sep Oct Nov Dec
Aug Sep Oct Nov Dec

0 1
Aug Sep Oct Nov Dec
0 1 0 0 0
NC, KTC, Sentinel )
Sep Oct
0 Nov
0 Dec
0
TARGET 100 100 100 100 100 100 100
Prosentase terpeliharanya alat medis ( 100

0 0 0
%)
Prosentase terpeliharanya alat medis ( 100 % )

120
100 100 100 100
80
60
40
20
0 0 0 0
Ja n feb Mar
Target Capa i an

TARGET 100 100 100 100 100 100 100

0 0 0 0 0 0
%)

120
100 100 feb; 100 Mar; 100 Apr; 100 May; 100 100
80
60
40
20
0 0 0 0 0 0 0

TARGET 100 100 100 100 100 100 100
0 0 0 0 0 0 0
%)

120
100
80
60
40
20
0 0 0 0 0 0 0 0 0 0
standa r capa i a n

TARGET 100 100 100 100 100 100 100
0 0 0 0 0 0 0
%)

120
80
60
40
20
0 0 0 0 0 0 0 0 0 0 0
standar capa i an
Aug Sep Oct Nov Dec
100 100 100 100 100
100
0
ar
Aug Sep Oct Nov Dec

100 100 100 100 100
May; 100 100
0
Jun
Aug Sep Oct Nov Dec

100 100 100 100 100
0 0
0 0
Aug Sep
Aug Sep Oct Nov Dec

100 100 100 100 100
0 0 0 0 0
00 % )
Aug; 100 Sep; 100 Oct; 100 Nov; 100

100
0 0 0 0
Sep Oct Nov Dec
TARGET 0 0 0 0 0 0 0
Insiden Staf Tertusuk Benda Tajam (0 %) 0.025 0 0
Insiden Staf Tertusuk Benda Tajam (0 %)

0.03
0.025 0.025
0.02
0.015
0.01
0.005
0 0 0 0
Ja n feb Mar
Target Capa i an

TARGET 0 0 0 0 0 0 0
Insiden Staf Tertusuk Benda Tajam (0 %) 0.025 0 0 0 0 0

0.03
0.025 0.025
0.02
0.015
0.01
0.005
0 0 0 feb; 0 0 Mar; 0 0 Apr; 0 0 May; 0 0


TARGET 0 0 0 0 0 0 0
Insiden Staf Tertusuk Benda Tajam (0 %) 0.025 0 0 0 0 0 0

0.03
0.025 0.025
0.02
0.015
0.01
0.005
0 0 0 0 0 0 0 0 0
standa r capa i a n

TARGET 0 0 0 0 0 0 0
Insiden Staf Tertusuk Benda Tajam (0 %) 0.025 0 0 0 0 0 0

0.03
0.025 0.025 0.025
0.02
0.015
0.01
0.005
0 0 0 feb; 0 0 Mar; 00 Apr; 00 May; 00 Jun; 0 0 Jul; 0 0 Aug; 00 Sep; 0 O

Ja n feb Mar Apr May Jun Jul Aug Sep Oct
standa r capai a n
Aug Sep Oct Nov Dec
0 0 0 0 0
0
ar
Aug Sep Oct Nov Dec

0 0 0 0 0
0 May; 0 0
y Jun
Aug Sep Oct Nov Dec

0 0 0 0 0
0 0
0 0 0
Aug Sep
Aug Sep Oct Nov Dec

0 0 0 0 0
0 0 0.025 0 0
0 %)
0.025
Aug; 00 Sep; 0 Oct; 00 Nov; 00

Sep Oct Nov Dec
TARGET 100 100 100 100 100 100 100
Baku mutu limbah cair (100 %) 100 100 100

120
100 100 100 100
80
60
40
20
0
Ja n feb Mar
Target Capa i an

TARGET 100 100 100 100 100 100 100
Baku mutu limbah cair (100 %) 100 100 100 100 100 100

120
100 100 100 feb; 100 100 Mar; 100 100 Apr; 100 100 May; 100 100
80
60
40
20
0

TARGET 100 100 100 100 100 100 100
Baku mutu limbah cair (100 %) 100 100 100 100 100 100 100

120
100 100 100 100 100 100 100 100 100 10
80
60
40
20
0
standa r capa i a n

TARGET 100 100 100 100 100 100 100
Baku mutu limbah cair (100 %) 100 100 100 100 100 100 100

120
100 100 100 feb; 100

100 Mar; 100
100 Apr; 100
100 May; 100
100 Jun; 100
100 Jul; 100
100 Aug; 100
100 Sep; 100
100 Oct;
80
60
40
20
0
standar capa i an
Aug Sep Oct Nov Dec
100 100 100 100 100
100
ar
Aug Sep Oct Nov Dec

100 100 100 100 100
0 May; 100 100
Jun
Aug Sep Oct Nov Dec

100 100 100 100 100
100 100
00 100 100
Aug Sep
Aug Sep Oct Nov Dec

100 100 100 100 100
100 100 100 100 100
%)
Aug; 100
100 Sep; 100
100 Oct; 100
100 Nov; 100
100
Sep Oct Nov Dec

TARGET 100 100 100 100 100 100 100
Angka Penggunaan Tempat Tidur / BOR

86.67 84.51 88.63
( Bed Occupany Ratio ) ( 80 % )
Angka Penggunaan Tempat Tidur / BOR ( Bed Occupany Ratio ) ( 80 % )

105
100 100 100 100
95
90 88.63
86.67
85 84.51
80
75
Ja n feb Mar
Target Capa i an

TARGET 100 100 100 100 100 100 100

86.67 84.51 88.63 84.9 76.49 63.1

120
100 100 feb; 100 Mar; 100 Apr; 100 May; 100 100
86.67 84.51 88.63 84.9
80 76.49
60 63.13
40
20
0
standar capaia n

TARGET 100 100 100 100 100 100 100
86.67 84.51 88.63 84.9 76.49 63.1 71.52

120
100
86.67 84.51 88.63 84.9
80 76.49 81.55 81
71.52
60 63.13
40
20
0
standa r capa i an

TARGET 80 80 80 80 80 80 80
86.67 84.51 88.63 84.9 76.49 63.1 71.52

100
90 86.67 88.63 91.09
84.51 84.9
80 80 feb; 80 Mar; 80 Apr; 80
76.49 May; 80 Jun; 80 Jul; 8081.55 Aug; 80
81.45 Sep; 80 Oct;
70 71.52
60 63.13
50
40
30
20
10
0
standar capa i an
Aug Sep Oct Nov Dec
100 100 100 100 100
%)
100
88.63
ar
Aug Sep Oct Nov Dec

100 100 100 100 100
0%)
May; 100 100
.49
63.13
Jun
Aug Sep Oct Nov Dec

100 100 100 100 100
81.55 81.45
( 80 % )
81.55 81.45
1.52
Aug Sep
Aug Sep Oct Nov Dec

80 80 80 80 80
81.55 81.45 91.09 88.1 88.79
any Ratio ) ( 80 % )
91.09 88.05 88.79

81.45 Sep; 80
Aug; 80 Oct; 80 Nov; 80
80
Sep Oct Nov Dec

TARGET 8 8 8 8 8 8 8
Angka Rata–Rata Lamanya Pasien Dirawat /

86.67 84.51 88.63
AVLOS (Average Length Of Stay) (6-9 )
Angka Rata–Rata Lamanya Pasien Dirawat / AVLOS (Average Length Of Stay) (6-9 )
100
86.67 84.51 88.63
80
60
40
20
8 8 8
0
Ja n feb Mar
Target Capa i an

TARGET 8 8 8 8 8 8 8

3.77 3.94 3.68 3.92 3.65 3.65
9
8 8 feb; 8 Mar; 8 Apr; 8 May; 8 8
7
6
5
4 3.77 3.94 3.68 3.92 3.65 3.65
3
2
1
0
Ja n fe b Ma r Apr May Jun
standa r capai a n

TARGET 8 8 8 8 8 8 8
3.77 3.94 3.68 3.92 3.65 3.65 3.76
9
8
7
6
5
4 3.77 3.94 3.68 3.92 3.65 3.65 3.76 3.68 3
3
2
1
0
standa r capa i an

TARGET 8 8 8 8 8 8 8

3.77 3.94 3.68 3.92 3.65 3.65 3.76
Angka Rata–Rata Lamanya Pasien Dirawat / AVLOS (Average Length Of Stay) (6-9
9
7
6
5
4 3.77 3.94 3.68 3.92 3.76 3.68 3.71 3.68
3.65 3.65
3
2
1
0
Ja n feb Ma r Apr May Jun Jul Aug Sep Oct N
standar capa i an
Aug Sep Oct Nov Dec
8 8 8 8 8
) (6-9 )
88.63
ar
Aug Sep Oct Nov Dec

8 8 8 8 8
tay) (6-9 )
May; 8 8
65 3.65
Jun
Aug Sep Oct Nov Dec

8 8 8 8 8
3.68 3.71
Of Stay) (6-9 )
.76 3.68 3.71
Aug Sep
Aug Sep Oct Nov Dec

8 8 8 8 8
3.68 3.71 3.68 3.68 3.83
e Length Of Stay) (6-9 )
Aug; 8 Sep; 8 Oct; 8 Nov; 88
3.71 3.68 3.68 3.83
Sep Oct Nov Dec

TARGET 80 80 80 80 80 80 80
Prosentase angka petugas elektromedik

0 0 0
dalam menanggapi kerusakan alat ( ≥ 80 % )
Prosentase angka petugas elektromedik dalam menanggapi kerusakan alat ( ≥ 80 % )

90
80 80 80 80
70
60
50
40
30
20
10
0 0 0 0
Ja n feb Mar
Target Ca pai an

TARGET 80 80 80 80 80 80 80

0 0 0 0 0 0

90
80 80 feb; 80 Mar; 80 Apr; 80 May; 80 80
70
60
50
40
30
20
10
0 0 0 0 0 0 0
Ja n feb Ma r Apr May Jun

TARGET 80 80 80 80 80 80 80
0 0 0 0 0 0 0

90
80
70
60
50
40
30
20
10
0 0 0 0 0 0 0 0 0 0
standa r capa i a n

TARGET 80 80 80 80 80 80 80

0 0 0 0 0 0 0
Prosentase angka petugas elektromedik dalam menanggapi kerusakan alat ( ≥ 80

90
70
60
50
40
30
20
10
0 0 0 0 0 0 0 0 0 0 0
standar capa i an
Aug Sep Oct Nov Dec
80 80 80 80 80
at ( ≥ 80 % )
80
0
Mar
Aug Sep Oct Nov Dec

80 80 80 80 80
at ( ≥ 80 % )
May; 80 80
0
Jun
Aug Sep Oct Nov Dec

80 80 80 80 80
0 0
n alat ( ≥ 80 % )
0 0
Aug Sep
Aug Sep Oct Nov Dec

80 80 80 80 80
0 0 0 0 0
kerusakan alat ( ≥ 80 % )
Aug; 80 Sep; 80 Oct; 80 Nov; 80

80
0 0 0 0
Sep Oct Nov Dec
BULAN Jan feb Mar Apr May Jun
TARGET 100 100 100 100 100 100
Respon time tindakan pelayanan di Gawat
100 100 100
Darurat < 5 menit (100%)
Respon time tindakan pelayanan di Gawat Darurat < 5 menit (100%)

120
100 100 100 100
80
60
40
20
0
Jan feb Mar
Ta rget Ca pai an

TARGET 100 100 100 100 100 100
100 100 100 100 100 100

100 100
100 feb; 100 Mar; 100 100
100Apr; 100 100
100 May; 100 100100
80
60
40
20
0
standar capaian
TARGET 100 100 100 100 100 100
100 100 100 100 100 100
Respon
100 100time tindakan pelayanan di Gawat Darurat < 5 menit (100%)
100 100 100 100 100 100
100 100
80
60
40
20
0
Jan feb Mar Apr May
Jun Jul Aug Sep
standar capaian
60
40
20
0
Jan feb Mar Apr May
Jun Jul Aug Sep
standar capaian

TARGET 100 100 100 100 100 100
100 100 100 100 100 100

100feb;100
100 Mar;100
100 100100
Apr; 100100Jun;
May; 100100 Jul;100
100 Aug;100
100 Sep;100
100 Oct;100
100
100 Nov;100
100 100 100
100
90
80
70
60
50
40
30
20
10
0
Jan feb Mar Apr
May Jun Jul Aug
Sep Oct Nov Dec
standar capaian
Jul Aug Sep Oct Nov Dec
100 100 100 100 100 100
100

100 100 100 100 100 100

100 100 100 100 100 100
100 100 100

100 100 100 100 100 100
100 100 100 100 100 100
TARGET 85 85 85 85 85 85
Angka Kepuasan Pelanggan di Gawat Darurat
88.5 91.9 90
(≥85%)
Angka Kepuasan Pelanggan di Gawat Darurat (≥85%)

94
92 91.9
90 90
88 88.5
86
85 85 85
84
82
80
Jan feb Mar
Ta rget Capa i an

TARGET 85 85 85 85 85 85
88.5 91.9 90 90.3 90 91.4
(≥85%)
94
92 91.9 91.4
90 90 90.3 90
88 88.5
86
85 85 85 85 85 85
84
82
80
Ta rget Ca pa i an

TARGET 85 85 85 85 85 85
88.5 91.9 90 90.3 90 91.4
(≥85%)
94
92 91.9 91.4
90 90 90.3 90 90
89.2
88 88.5 88.3
86
85 85 85 85 85 85 85 85 85
84
94
92 91.9 91.4
90 90 90.3 90 90
89.2
88 88.5 88.3
86
85 85 85 85 85 85 85 85 85
84
82
80
BULAN Ta rget Capai a n Jan feb Mar Apr May Jun
TARGET 85 85 85 85 85 85
88.5 91.9 90 90.3 90 91.4
(≥85%)

94
92 91.9 91.4
90 90 90.3 90 90
89.2 89.7
89
88 88.5 88.3
87.7
86
85 feb; 85 Mar; 85Apr; 85May; 85Jun; 85Jul; 85 Aug; 85Sep; 85Oct; 85Nov;
85 85
84
82
80
Jan feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
standar ca pa ia n
85 85 85 85 85 85

85 85 85 85 85 85

85 85 85 85 85 85
89.2 88.3 90
85 85 85 85 85 85
89.2 88.3 90 87.7 89.7 89

TARGET 80 80 80 80 80 80 80
Kepuasan pelanggan ICU > 80% 97 96 90
Kepuasan pelanggan ICU > 80%

120
100 97 96
90
80 80 80 80
60
40
20
0
Jan feb Mar
Target
Ca pa i an

TARGET 80 80 80 80 80 80 80
Kepuasan pelanggan ICU > 80% 97 96 90 98.3 99.7 97

120
100 97 96 98.3 99.7 97
90
80 80 feb; 80 Mar; 80 Apr; 80 May;80
80
60
40
20
0
BULAN standar capai an Jan feb Mar Apr May Jun Jul
TARGET 80 80 80 80 80 80 80
Kepuasan pelanggan ICU > 80% 97 96 90 98.3 99.7 97 95.6

120
100 97 96 98.3 99.7 97 95.6

90 91 89
80 80 feb; 80 Mar; 80 Apr; 80 May;
80 80 80 80 80
60
40
120
100 97 96 98.3 99.7 97 95.6

90 91 89
80 80 feb; 80 Mar; 80 Apr; 80 May;
80 80 80 80 80
60
40
20
0
BULAN standa r capai a n Jan feb Mar Apr May Jun Jul
TARGET 80 80 80 80 80 80 80
Kepuasan pelanggan ICU > 80% 97 96 90 98.3 99.7 97 95.6

120
100 97 96 98.3 99.7 97 95.6 97.1

90 91 89 92.2 92
80 80 feb; 80Mar; 80
Apr; 80May; 80
Jun; 80Jul; 80Aug; 80Sep; 80Oct; 8080
Nov; 80
60
40
20
0
Jan feb Ma r Apr May Jun Jul Aug Sep Oct Nov Dec
sta nda r ca pa ia n
Aug Sep Oct Nov Dec
80 80 80 80 80
Aug Sep Oct Nov Dec

80 80 80 80 80
Aug Sep Oct Nov Dec

80 80 80 80 80
91 89
Aug Sep Oct Nov Dec
80 80 80 80 80
91 89 92.2 92 97.1
BULAN Jan feb Mar
TARGET 80 80 80
Angka Kepuasan Pelanggan Di Rawat Inap ( ≥ 80 % ) 87.12 89.2 89.8
Angka Kepuasan Pelanggan Di Rawat Inap ( ≥ 80 % )

95
90 89.2 89.8
87.12
85
80 80 80 80
75
Ja n feb Mar
Ta rget Capa i an
BULAN Jan feb Mar

TARGET 80 80 80
Angka Kepuasan Pelanggan Di Rawat Inap ( ≥ 80 % )

92
90.84
90 89.2 89.8 89.8 89.7
88 87.12
86
84
82
80 80 80 80 80 80 80
78
76
74
Ta rget Capai a n
BULAN Jan feb Mar
TARGET 80 80 80
Angka Kepuasan Pelanggan Di Rawat Inap

(≥ 80 % )
92
90.84 91
90 89.8 89.8 89.7
89.2 89
88 88.3
87.12
86
84
82
80 80 feb; 80 Mar; 80 Apr; 80 May;
80 80 80 80 80
78
(≥ 80 % )
92
90.84 91
90 89.8 89.8 89.7
89.2 89
88 88.3
87.12
86
84
82
80 80 feb; 80 Mar; 80 Apr; 80 May;
80 80 80 80 80
78
76
74
standa r ca pai a n
BULAN Jan feb Mar
TARGET 80 80 80
Angka Kepuasan Pelanggan Di Rawat Inap (≥ 80 %)

92
90.84 91
90
89.2 89.8 89.8 89.7
89
88 88.3 87.7 87.9 88.3
87.12
86
84
82
80 80 feb; 80Mar; 80Apr; 80May; 80Jun; 80Jul; 80Aug; 80Sep; 80Oct; 80Nov;
80 80
78
76
74
standa r ca pa ia n
Apr May Jun Jul Aug Sep Oct Nov Dec
80 80 80 80 80 80 80 80 80

80 80 80 80 80 80 80 80 80
90.84 89.8 89.7
89.7
80
Jun
80 80 80 80 80 80 80 80 80
90.84 89.8 89.7 89 91 88.3

80 80 80 80 80 80 80 80 80
90.84 89.8 89.7 89 91 88.3 87.7 87.9 88.3

TARGET 5 5 5 5 5 5 5
Angka kejadian pulang paksa (APS) (≤ 5%) 1.36 2.13 1.42
Angka kejadian pulang paksa (APS) (≤ 5%)

6
5 5 5 5
4
3
2 2.13
1.36 1.42
1
0
Ja n febTarget Mar
Ca pa i an

TARGET 5 5 5 5 5 5 5
Angka kejadian pulang paksa (APS) (≤ 5%) 1.36 2.13 1.42 1.28 1.26 1.72

6
5 5 5 5 5 5 5
4
3
2 2.13
1.72
1.36 1.42 1.28 1.26
1
0
BULAN Ta rget Ca pa i an Jan feb Mar Apr May Jun Jul
TARGET 5 5 5 5 5 5 5
Angka kejadian pulang paksa (APS) (≤ 5%) 1.36 2.13 1.42 1.28 1.26 1.72 1.17

6
5 5 feb; 5 Mar; 5 Apr; 5 May;

5 5 5 5 5
3
6

5 5 5 5 5
2 2.13 1.93
1.72
1.36 1.42 1.28 1.26
1 1.17 0.94
0
standa r capai a n
TARGET 5 5 5 5 5 5 5
Angka kejadian pulang paksa (APS) (≤ 5%) 1.36 2.13 1.42 1.28 1.26 1.72 1.17

6
5 5 feb; 5 Mar; 5Apr; 5 May; 5Jun; 5 Jul; 5 Aug; 5 Sep; 5 Oct; 5 Nov;
5 5
2 2.13 1.93
1.72 1.64 1.55
1.36 1.42 1.28 1.26
1 1.17 0.94 1.09
0
sta nda r capaia n
Aug Sep Oct Nov Dec
5 5 5 5 5
Aug Sep Oct Nov Dec

5 5 5 5 5
Aug Sep Oct Nov Dec

5 5 5 5 5
1.93 0.94
Aug Sep Oct Nov Dec
5 5 5 5 5
1.93 0.94 1.09 1.64 1.55

TARGET 90 90 90 90 90 90 90
Waktu Tunggu Pasien Rawat Jalan < 60

60 75 50
menit ( 90% )
Waktu Tunggu Pasien Rawat Jalan < 60 menit ( 90% )

100
90 90 90
80 75
60 60
50
40
20
0
Ja n febTa rget Ma r
Ca pai a n

TARGET 90 90 90 90 90 90 90

60 75 50 65 70 60
menit ( 90% )
Waktu Tunggu Pasien Rawat Jalan < 60 menit (90%)

100
90 90 90 90 90 90
80
75
70
65
60 60 60
50
40
20
0
Ta rget Ca pa i an
TARGET 90 90 90 90 90 90 90

60 75 50 65 70 60 75
menit ( 90% )

100
90 90 feb; 90 Mar; 90 Apr; 90 May;
90 90 90 90 90
80 76
75 75
100
90 90 feb; 90 Mar; 90 Apr; 90 May;
90 90 90 90 90
80 76
75 75
70 70 70
65
60 60 60
50 50
40
30
20
10
0
standar capai a n

TARGET 90 90 90 90 90 90 90

60 75 50 65 70 60 75
menit ( 90% )
Waktu Tunggu Pasien Rawat Jalan < 60menit ( 90% )

100
90 90 feb; 90Mar; 90
Apr; 90May; 90
Jun; 90Jul; 90Aug; 90Sep; 90Oct; 90Nov;
90 90
80
75 75 76 75 76
70 70 70 70
65
60 60 60
50 50
40
30
20
10
0
standar ca pai an
Aug Sep Oct Nov Dec
90 90 90 90 90
Aug Sep Oct Nov Dec

90 90 90 90 90
Aug Sep Oct Nov Dec

90 90 90 90 90
70 76
Aug Sep Oct Nov Dec
90 90 90 90 90
70 76 75 70 76
TARGET 90 90 90 90 90 90
Angka Kepuasan Pelanggan Di Rawat Jalan

83 95 95
(≥ 90 %)
Angka Kepuasan Pelanggan Di Rawat Jalan (≥ 90 %)

100
95 95 95
90 90 90 90
85
83
80
75
Jan febTa rget Mar
Capai a n

TARGET 90 90 90 90 90 90

83 95 95 90 90 90
(≥ 90 %)

(≥ 90 %)
96
95 95
94
92
90 90 90 90 90 90 90
88
86
84
83
82
80
78
76
Ta rget Ca pa i an
TARGET 90 90 90 90 90 90

83 95 95 90 90 90
(≥ 90 %)

96
95 95 95 95 95
94
92
90 90 feb; 90 Mar;
9090 Apr;9090 May;
9090 90 90 90
88
86
96
95 95 95 95 95
94
92
90 90 feb; 90 Mar;
9090 Apr;9090 May;
9090 90 90 90
88
86
84
83
82
80
78
76
standar capai a n
TARGET 90 90 90 90 90 90

83 95 95 90 90 90
(≥ 90 %)

96
95 95 95 95 95 95 95 95
94
92
90 90 feb; 90 Mar;
90 90Apr;
90 90May;
90 90Jun; 90Jul; 90 Aug; 90Sep; 90Oct; 90Nov;
90 90
88
86
84
83
82
80
78
76
sta nda r capaia n
90 90 90 90 90 90

90 90 90 90 90 90

90 90 90 90 90 90
95 95 95
90 90 90 90 90 90
95 95 95 95 95 95
TARGET 75 75 75 75 75 75
Evaluasi sisa makanan diet pasien (≤ 75%) 85.16 84.28 81.93
Evaluasi sisa makanan diet pasien (≤ 75%)

90
85 85.16 84.28
81.93
80
75 75 75 75
70
65
Ja n febTa rget Mar
Capai a n

TARGET 75 75 75 75 75 75
Evaluasi sisa makanan diet pasien (≤ 75%) 85.16 84.28 81.93 87.99 90.97 90
Evaluasi sisa makanan diet pasien

(≤ 75%)
100
90 87.99 90.97 90
85.16 84.28 81.93
80
75 75 75 75 75 75
70
60
50
40
30
20
10
0
BULAN Ta rget Ca pai a n Jan feb Mar Apr May Jun
TARGET 75 75 75 75 75 75

100
90 90.97 90 91.61 89.67 88.66
85.16 87.99
84.28 81.93
80
75 feb; 75 Mar; 75 Apr; 75 May; 75
75 75 75 75
70
60
50
40
30
20
10
0
85.16 84.28 81.93
80
75 feb; 75 Mar; 75 Apr; 75 May; 75
75 75 75 75
70
60
50
40
30
20
10
0
standar capa ia n
TARGET 75 75 75 75 75 75

94
92 91.61
90.97 90.97
90 90 feb; 90Mar; 90Apr; 90May;
90 90 Jun; 90Jul; 90 Aug; 90Sep; 90Oct; 90Nov;
89.67 90 90
88 87.99 88.66
87.33 87.74
86
85.16
84 84.28
82 81.93
80
78
76
sta nda r ca pa ian

75 75 75 75 75 75

75 75 75 75 75 75

75 75 75 75 75 75
91.61 89.67 88.66
89.67 88.66
75 75
Aug Sep
75 75
Aug Sep
75 75 75 75 75 75
91.61 89.67 88.66 90.97 87.3 87.74

TARGET 90 90 90 90 90 90
Angka Ketepatan Waktu Pemberian Makanan
92.9 90.72 89.68
Kepada Pasien (makan siang) (≥ 90 %)

94
93 92.9
Target
92
Ca pa i an
91
90.72
90 90 90 90
89.68
89
BULAN
88 Jan feb Mar Apr May Jun
TARGETJan feb 90 90 Ma r 90 90 90 90

92.9 90.72 89.68 93.33 96.77 94.7
Angka Ketepatan Waktu Pemberian Makanan Kepada Pasien (makan siang) (≥ 90 %)

98
96.77
96
94.67
94
92.9 93.33
92
90.72
90 90 90 90
89.68 90 90 90
88
86
BULAN Jan feb Mar Apr May JanJun feb Mar Apr May Jun
Target Capaian
TARGET 90 90 90 90 90 90
92.9 90.72 89.68 93.33 96.77 94.7

98
96.77
96
94.67
94 93.54
92.9 93.33
92 92.02
90.72
90 90 feb;89.68
90 Mar; 90 Apr; 90 May;
9090 90
89.67 90 90
98
96.77
96
94.67
94
93.33 93.54
92.9
92 92.02
90.72
90 90 feb;89.68
90 Mar; 90 Apr; 90 May;
9090 90
89.67 90 90
88
86
BULAN standar capaian Jan feb Mar Apr May Jun

TARGET 90 90 90 90 90 90
92.9 90.72 89.68 93.33 96.77 94.7

98
96.77
96
94.67
94 93.54
92.9 93.33
92 92.02
90.72
90 90 feb; 90 Mar; 90Apr; 90May; 90Jun;
89.68 90 Jul; 90 Aug; 90Sep; 90Oct; 90Nov;
89.67 90 90
88 88.39 88.39
87.33
86
84
82
standar capaian
90 90 90 90 90 90

90 90 90 90 90 90

90 90 90 90 90 90
89.67 93.54 92.02

90 90 90 90 90 90
89.67 93.54 92.02 88.39 87.3 88.39

TARGET 100 100 100 100 100 100
Angka Ketepatan Waktu Kenaikan Pangkat (100

97.77 97.77 97.77
%)
Angka Ketepatan Waktu Kenaikan Pangkat (100 %)

100.5
100 100 1
99.5
99
98.5
98
97.77 9
97.5
97
96.5
Ja n feb Mar
Ta rget Ca pai a n

TARGET 100 100 100 100 100 100

100 100 100 100 100 100
%)

100
100
100
100 100
80
60
40
20
0 t
Jan feb a rge
Ma r Apr T
May Jun
TARGET Ta rget Capai a n 100 100 100 100 100 100

97.77 97.77 97.77 97.77 97.77 97.77
%)

100.5
100 100 feb; 100 Mar; 100 Apr; 100 May; 100
99.5
99
98.5
98
97.77
100.5
100 100 feb; 100 Mar; 100 Apr; 100 May; 100
99.5
99
98.5
98
97.77
97.5
97
96.5
Ja n feb Mar Apr May Jun Jul Au
standa r capa i a n

TARGET 100 100 100 100 100 100

100 100 100 100 100 100
%)

100.5
100 100 100
99.5
99
98.5
98
97.77
97.5
97
96.5
standa r ca pa i a n
100 100 100 100 100 100
0 %)
100
97.77
Mar

100 100 100 100 100 100

100 100 100 100 100 100
97.77 97.77 97.77
00 %)
100
97.77
00 %)
100
97.77
Jul Aug Sep

100 100 100 100 100 100
97.77 97.77 97.77 97.77 97.77 97.77

BULAN Jan feb Mar Apr May
TARGET 90 90 90 90 90
Angka Kepuasan Pegawai Berdasarkan Survei

76 76 76
Kepuasan Pegawai (90 %)
Angka Kepuasan Pegawai Berdasarkan Survei Kepuasan Pegawai (90 %)

95
90 90
85
80
75 76
70
65
Ja n feb
Target Capai a n

TARGET 90 90 90 90 90

76 76 76 76 76

95
90 90
85
80
75 76
70
65
Ja n feb Mar Apr May
Ta rget Ca pa i an

TARGET 90 90 90 90 90
76 76 76 76 76

95
90 90 feb; 90 Mar; 90 Apr; 90 May; 90
85
80
75 76
70
65
Ja n feb Mar Apr May Jun Jul
standa r capai a n

TARGET 90 90 90 90 90

76 76 76 76 76
Angka Kepuasan Pegawai Berdasarkan Survei Kepuasan Pegawai

95
90 90 feb; 90 Mar; 90 Apr; 90 May; 90 Jun; 90 Jul; 90 Aug; 90 S

85
80
75 Jan; 76 feb; 76 Mar; 76 Apr; 76 May; 76 Jun; 76 Jul; 76 Aug; 76 S
70
65
standa r ca pai a n
Jun Jul Aug Sep Oct Nov Dec
90 90 90 90 90 90 90
puasan Pegawai (90 %)
90
76
Mar

90 90 90 90 90 90 90
76
uasan Pegawai (90 %)
90
76
May Jun

90 90 90 90 90 90 90
76 76 76 76
uasan Pegawai (90 %)
90
76
Jun Jul Aug Sep

90 90 90 90 90 90 90
76 76 76 76 76 76 76
i Kepuasan Pegawai (90 %)
Jul; 90 Aug; 90 Sep; 90 Oct; 90 Nov; 9090
Jul; 76 Aug; 76 Sep; 76 Oct; 76 Nov; 7676
Aug Sep Oct Nov Dec

an
TARGET 100 100 100 100 100 100
Angka Ketepatan Waktu kenaikan berkala

97.22 97.22 97.22
Berkala (100 %)
Angka Ketepatan Waktu kenaikan berkala Berkala (100 %)

101
100 100
99
98
97 97.22
96
95
Ja n feb
Ta rget Capai an

TARGET 100 100 100 100 100 100

98.38 98.38 98.38 98.38 98.38 98.38
Berkala (100 %)

100.5
100 100 100
99.5
99
98.5 98.38 98.38
98
97.5
BULAN Ta rget Jan
Capai an feb Mar Apr May Jun
TARGET 100 100 100 100 100 100

97.22 97.22 97.22 97.22 97.22 97.22
Berkala (100 %)

101
100 100 feb; 100 Mar; 100 Apr; 100 May; 100
99
98
101
100 100 feb; 100 Mar; 100 Apr; 100 May; 100
99
98
97 97.22
96
95
Jan feb Mar Apr May Jun Jul
standar ca pai an

TARGET 100 100 100 100 100 100

98.38 98.38 98.38 98.38 98.38 98.38
Berkala (100 %)

100.5
100 100 feb; 100Mar; 100
Apr; 100
May; 100
Jun; 100Jul; 100Aug; 100
Sep; 100
Oct; 100
N100
ov; 100
99.5
99
98.5 Jan; 98.38
feb; 98.38
Mar; 98.38
Apr; 98.38
May; 98.38
Jun; 98.38
98
97.5
Jul; 97.22
Aug; 97.22
Sep; 97.22
Oct; 97.22
Nov;
97.2297.22
97
96.5
96
95.5
standar ca paian
100 100 100 100 100 100
kala (100 %)
100
97.22
Ma r

100 100 100 100 100 100

100 100 100 100 100 100
97.22 97.22 97.22
a (100 %)
100
a (100 %)
100
97.22
Jul Aug Sep

100 100 100 100 100 100
97.22 97.22 97.22 97.22 97.22 97.22

TARGET 60 60 60 60 60 60
Angka Karyawan Yang Mendapat Pelatihan

11.54 11.54 11.54
Minimal 20 Jam Setahun (≥ 60 %)
Angka Karyawan Yang Mendapat Pelatihan Minimal 20 Jam Setahun (≥ 60 %)

70
60 60
50
40
30
20
10 11.54
0
Ja n feb
Target Capai a n

TARGET 60 60 60 60 60 60

11.54 11.54 11.54 11.54 11.54 11.54

70
60 60
50
40
30
20
10 11.54
0
Jan feb Ma r Apr May Ju
Ta rget Ca pai an

TARGET 60 60 60 60 60 60

11.54 11.54 11.54 11.54 11.54 11.54

70
60 60 feb; 60 Mar; 60 Apr; 60 May; 60
50
70
60 60 feb; 60 Mar; 60 Apr; 60 May; 60
50
40
30
20
10 11.54
0
Jan feb Ma r Apr May Jun Jul
standar capai an

TARGET 60 60 60 60 60 60

11.54 11.54 11.54 11.54 11.54 11.54
Minimal 20 Jam Setahun
Angka Karyawan Yang Mendapat Pelatihan Minimal 20 Jam Setahun (≥ 6

70
60 60 feb; 60 Mar; 60 Apr; 60 May; 60 Jun; 60 Jul; 60 Aug; 60 Sep
50
40
30
20
10 11.54 feb; 11.54 Mar; 11.54 Apr; 11.54 May; 11.54 Jun; 11.54 Jul; 11.54 Aug; 11.54 Sep
0
standar ca pai an
60 60 60 60 60 60
am Setahun (≥ 60 %)
60
11.54
Mar

60 60 60 60 60 60
am Setahun (≥ 60 %)
60
11.54
May Jun

60 60 60 60 60 60
11.54 11.54 11.54
Jam Setahun (≥ 60 %)
60
Jam Setahun (≥ 60 %)
60
11.54
Jul Aug Sep

60 60 60 60 60 60
11.54 11.54 11.54 11.54 11.54 11.54
20 Jam Setahun (≥ 60 %)
60 Aug; 60 Sep; 60 Oct; 60 Nov; 60 60
11.54 Aug; 11.54 Sep; 11.54 Oct; 11.54 Nov; 11.54

11.54
Aug Sep Oct Nov Dec

TARGET 100 100 100 100 100 100
Angka Ketersediaan Pelaporan 10 Besar

100 100 100
Penyakit di Rawat Inap Secara Rutin (100 %)
Angka Ketersediaan Pelaporan 10 Besar Penyakit

di Rawat Inap Secara Rutin (100 %)
120
100 100 100 100
80
60
40
20
0
Ja n feb Mar
Ta rget Capai an
TARGET 100 100 100 100 100 100

100 100 100 100 100 100
Angka Ketersediaan Pelaporan 10 Besar Penyakit di Rawat Inap Secara Rutin (100 %)
100 100 100
100 100 100 100 100
100 100 100
100 100
80
60
40
20
0
Target Capaian
TARGET 100 100 100 100 100 100

100 100 100 100 100 100
Angka Ketersediaan 100

Pelaporan 10 Besar Penyakit di Rawat Inap Secara Rutin (100 %)
100 feb;100
Mar;100
100 Apr;100
100 May;100
100 100100100 100100 100 100
100 100 100
90
80
Angka Ketersediaan 100
Pelaporan 10 Besar Penyakit di Rawat Inap Secara Rutin (100 %)
100 feb;100
Mar;100
100 Apr;100
100 May;100
100 100100100 100100 100 100
100 100 100
90
80
70
60
50
40
30
20
10
0
Jan feb Mar Apr
May Jun Jul Aug Sep
BULAN standar capaian Jan feb Mar Apr May Jun
TARGET 100 100 100 100 100 100

100 100 100 100 100 100
Angka Ketersediaan Pelaporan 10 Besar Penyakit di Rawat Inap Secara Rutin (100 %)
100100feb;100
Mar;100100
100 Apr;100
May;100100
100 Jun;100
Jul;100
100 Aug;100
100
100 Sep;100
100 Oct;100
100 Nov;100
100 100100100
90
80
70
60
50
40
30
20
10
0
Jan feb Mar Apr
May Jun Jul Aug
Sep Oct Nov Dec
standar capaian
100 100 100 100 100 100

100 100 100 100 100 100

100 100 100 100 100 100
100 100 100

100 100 100 100 100 100
100 100 100 100 100 100

TARGET 80 80 80 80 80 80
Cost Coverage Rasio ( CCR ) (80 %) 56 108 122
Cost Coverage Rasio ( CCR ) (80 %)

140
120 122
108
100
80 80 80 80
60 56
40
20
0
Jan feb Ma r
Ta rget Ca pa i an

TARGET 80 80 80 80 80 80
Cost Coverage Rasio ( CCR ) (80 %) 56 108 122 191 47 107

250
200 191
150
122
100 108 107
80 80 80 80 80 80
50 56 47
0
Target Ca pai an
TARGET 80 80 80 80 80 80

250
200
250
200 192
191
150
122 124
100 108 107
80 feb; 80 Mar; 80 Apr; 80 May; 80 80
64
50 56 47
0
standa r capai an
TARGET 80 80 80 80 80 80

250
200 192
191
169
150
122 124 120
100 108 107
80 feb; 80Mar; 80
Apr; 80May; 80
Jun; 80Jul; 80Aug; 80Sep; 80Oct; 8080
Nov; 80
64
50 56 47 54
0
sta ndar ca paia n
80 80 80 80 80 80

80 80 80 80 80 80

80 80 80 80 80 80
64 124 192
80 80 80 80 80 80
64 124 192 120 54 169

TARGET 80 80 80 80 80 80
Angka Prosentase Piutang Terbayar (80 %) 85 85 85
Angka Prosentase Piutang Terbayar (80 %)

86
85 85 85 85
84
83
82
81
80 80 80 80
79
78
77
Ja n feb Mar
Ta rget Ca pa i an

TARGET 80 80 80 80 80 80
Angka Prosentase Piutang Terbayar (80 %) 85 85 85 86 87 88

90
88 88
87
86 86
85 85 85
84
82
80 80 80 80 80 80 80
78
76
Ta rget Capa i an

TARGET 80 80 80 80 80 80

90
89
88 88 88
87
86 86 86
85 85 85
84
82
80 80 feb; 80 Mar; 80 Apr; 80 May;
80 80 80 80 80
78
76
74
90
89
88 88 88
87
86 86 86
85 85 85
84
82
80 80 feb; 80 Mar; 80 Apr; 80 May;
80 80 80 80 80
78
76
74
sta nda r capai a n

TARGET 80 80 80 80 80 80

90
89 89
88 88 88 88 88
87
86 86 86
85 85 85
84
82
80 80 feb; 80Mar; 80Apr; 80May; 80Jun; 80Jul; 80Aug; 80Sep; 80Oct; 80Nov;
80 80
78
76
74
standa r capa i an
80 80 80 80 80 80

80 80 80 80 80 80

80 80 80 80 80 80
86 89 88
80 80 80 80 80 80
86 89 88 88 89 88
TARGET 80 80 80 80 80 80
Angka Waktu Tunggu Pembayaran Pasien Rawat
81 82 78
Inap ≤ 60mnt (80 %)
Angka Waktu Tunggu Pembayaran Pasien

Rawat Inap ≤ 60mnt (80 %)
83
82 82
81 81
80 80 80 80
79
78 78
77
76
Jan feb Ma r
Target Capa i an

TARGET 80 80 80 80 80 80

81 82 78 81 80 82
Inap ≤ 60mnt (80 %)
Angka Waktu Tunggu Pembayaran Pasien Rawat Inap ≤ 60mnt (80 %)

83
82 82 82
81 81 81
80 80 80 80 80 80 80
79
78 78
77
76
Target Capaian
TARGET 80 80 80 80 80 80
81 82 78 81 80 82
Inap ≤ 60mnt (80 %)

83
82 82 82
81 81 81 81
80 80 feb; 80 Mar; 80 Apr;

8080 May;
80 80 80 80 80
79 79 79
83
82 82 82
81 81 81 81
80 80 feb; 80 Mar; 80 Apr;

8080 May;
80 80 80 80 80
79 79 79
78 78
77
76
BULAN sta nda r capa ian Jan feb Mar Apr May Jun
TARGET 80 80 80 80 80 80
81 82 78 81 80 82
Inap ≤ 60mnt (80 %)

83
82 82 82
81 81 81 81
80 80 feb; 80Mar; 80A80pr; 80May; 80Jun; 80Jul; 80Aug; 80Sep; 80Oct; 80Nov;
80 80
79 79 79 79 79
78 78
77 77
76
75
74
standar capaian
80 80 80 80 80 80

80 80 80 80 80 80

80 80 80 80 80 80
81 79 79
80 80 80 80 80 80
81 79 79 77 79 79
TARGET 100 100 100 100 100 100
Angka kepatuhan pemasangan gelang identitas

100 100 100
pasien rawat inap (100 %)

100 100
100 100
100 100
100
80
60
40
20
0 Capaian
Jan feb
Target
Ma r
Target

TARGET 100 100 100 100 100 100

100 100 100 100 100 100
Angka kepatuhan pemasangan gelang identitas pasien rawat inap (100 %)

100 100 100
100 100 100 100 100
100 100 100
100 100
80
60
40
20
0
Jan feb Mar
BULAN Apr May Jun Jan feb Mar Apr May Jun
TARGET Target Capaian 100 100 100 100 100 100

100 100 100 100 100 100
Angka kepatuhan
100
pemasangan gelang identitas pasien rawat inap (100 %)
100 feb;100
Mar;100
100 Apr;100
100 May;100
100 100100100 100100 100
100 100 100100
90
80
Angka kepatuhan
100
pemasangan gelang identitas pasien rawat inap (100 %)
100 feb;100
Mar;100
100 Apr;100
100 May;100
100 100100100 100100 100
100 100 100100
90
80
70
60
50
40
30
20
10
0
BULAN standar capaian
TARGET 100 100 100 100 100 100

100 100 100 100 100 100
Angka kepatuhan pemasangan gelang identitas pasien rawat inap (100 %)

100100feb;100
Mar;100
100 100100
Apr; 100100Jun;
May; 100100Jul;100
100 Aug;100
100 Sep;100
100 Oct;100
100 Nov;100
100 100 100
100 100
90
80
70
60
50
40
30
20
10
0
Jan feb Mar Apr
May Jun Jul Aug
Sep Oct Nov Dec
standar capaian
100 100 100 100 100 100

100 100 100 100 100 100

100 100 100 100 100 100
100 100 100

100 100 100 100 100 100
100 100 100 100 100 100

TARGET 80 80 80 80 80 80
Angka kepatuhan pelaksanaan SPO identifikasi

92 88 92

95
92 92
90
88
85
80 80 80 80
75
70
Jan
BULAN feb Jan Mar
feb Mar Apr May Jun
Ta rget Capa i an
TARGET 100 100 100 100 100 100

92 88 92 88 80 84
Angka kepatuhan pelaksanaan SPO identifikasi pasien rawat inap (100 %)

120
100 100 100 100 100 100 100
92 88 92 88
80 80 84
60
40
20
0
Target Capaian
TARGET 100 100 100 100 100 100

92 88 92 88 80 84

120
100 100 feb; 100 Mar; 100Apr; 100May;

100100 100 100 100
92 88 92 88 88
120
100 100 feb; 100 Mar; 100Apr; 100May;

100100 100 100 100
92 88 92 88 88
80 80 84 84 80
60
40
20
0
standar capaian
TARGET 100 100 100 100 100 100

92 88 92 88 80 84

120
100 100 feb; 100Mar; 100

Apr; 100
May; 100
Jun; 100Jul; 100Aug; 100
Sep; 100
Oct; 100
Nov;
100 100
92 88 92 88 88 88 88
80 80 84 84 80 80
60
40
20
0
standar capaian
80 80 80 80 80 80

80 80 80 80 80 80

100 100 100 80 80 80
84 80 88
100 100 100 100 100 100
84 80 88 80 88 88
TARGET 100 100 100 100 100 100
Instrutur verbal via telepon yang di Tanda
tangani dokter dan perawat dalam 24 jam (100 92 100 100
%)
Instrutur verbal via telepon yang di Tanda tangani dokter dan perawat dalam 24 jam (100 %)
102
100 100 100 100
98
96
94
92 92
90
88
Jan feb Mar
BULAN Target Capaian Jan feb Mar Apr May Jun
TARGET 100 100 100 100 100 100

92 100 100 90 88 84
tangani dokter dan perawat dalam 24 jam
105
100 100 100 100 100 100 100
95
92
90 90
88
85 84
80
75
TARGET Jan feb Mar Apr May 100 Jun100 100 100 100 100
Target Capaian
92 100 100 90 88 84
120
100 100 100 feb;100

100 Mar; 100Apr; 100 May;
100100 100 100 100
92 90 88 84 84
80 76 76
120
100 100 100 feb;100

100 Mar; 100Apr; 100 May;
100100 100 100 100
92 90 88 84 84
80 76 76
60
40
20
0
standar capaian
TARGET 100 100 100 100 100 100

92 100 100 90 88 84
Instrutur verbal via telepon yang di Tanda tangani dokter dan perawat dalam 24 jam
120
100 100 100 feb;

100 100Mar; 100
Apr; 100May; 100
Jun; 100Jul; 100Aug; 100
Sep; 100Oct; 100Nov;
100 100
92 90 88 90
80 84 84 82 82
76 76
60
40
20
0
standar capaian
100 100 100 100 100 100

100 100 100 100 100 100

100 100 100 100 100 100
84 76 76
100 100 100 100 100 100
84 76 76 82 82 90
TARGET 100 100 100 100 100 100
Pelaporan hasil kritis pemeriksaan laboratorium

100 100 100
(100 %)
100 100
100 100
100 100
100
80
60
40
20
0 Capaian
Jan feb
Target
Mar

100 100 100 100 100 100
(100 %)
Pelaporan hasil kritis pemeriksaan laboratorium (100 %)

100 100 100
100 100 100 100 100
100 100 100
100 100
80
60
40
20
0 t
ge
Jan feb Mar Tar
BULAN Apr May Jun Jan feb Mar Apr May Jun
TARGET Target Ca pa i an 100 100 100 100 100 100

100 100 100 100 100 100
(100 %)
Pelaporan
100
hasil kritis pemeriksaan laboratorium (100 %)
100 feb;100
Mar;100
100 Apr;100
100 May;100
100 100 100 100 100
100 100 100 100
100 100
90
80
70
60
50
Pelaporan
100
hasil kritis pemeriksaan laboratorium (100 %)
100 feb;100
Mar;100
100 Apr;100
100 May;100
100 100 100 100 100
100 100 100 100
100 100
90
80
70
60
50
40
30
20
10
0 ar
Jan feb Mar Apr a nd
May Jun Jul Aug Sep st
BULAN standa r capai a n Jan feb Mar Apr May Jun

TARGET 100 100 100 100 100 100

100 100 100 100 100 100
(100 %)
Pelaporan hasil kritis pemeriksaan laboratorium (100 %)

100
100 feb;100
Mar;100
100 100100
Apr; 100100
May; 100100
Jun; Jul;100
100 Aug;100
100 Sep;100
100 Oct;100
100 Nov;100
100 100 100
100 100
90
80
70
60
50
40
30
20
10
0
Jan feb Mar Apr
May Jun Jul Aug
Sep Oct Nov Dec
standar capaian
100 100 100 100 100 100

100 100 100 100 100 100

100 100 100 100 100 100
100 100 100

100 100 100 100 100 100
100 100 100 100 100 100

TARGET 100 100 100 100 100 100
Kepatuhan pemberian label obat hight alert oleh
100 100 100
farmasi pada troly emergency (100 %)
Kepatuhan pemberian label obat hight alert oleh farmasi pada troly emergency (100 %)
100 100
100 100
100 100
100
80
60
40
20
0 Capaian
Jan feb
Target
Mar
Target Capaian
TARGET 100 100 100 100 100 100

100 100 100 100 100 100
100 100 100
100 100 100 100 100
100 100 100
100 100
80
60
40
20
0
Target Capaian
TARGET 100 100 100 100 100 100

100 100 100 100 100 100
Kepatuhan pemberian100label obat hight alert oleh farmasi pada troly emergency (100 %)
100 feb;100
Mar;100
100 Apr;100
100 May;100
100 100100100 100100 100 100
100 100 100
90
80
70
60
50
40
Kepatuhan pemberian100label obat hight alert oleh farmasi pada troly emergency (100 %)
100 feb;100
Mar;100
100 Apr;100
100 May;100
100 100100100 100100 100 100
100 100 100
90
80
70
60
50
40
30
20
10
0
Jan feb Mar
Apr May Jun
Jul Aug Sep
standar capaian
TARGET 100 100 100 100 100 100
100 100 100 100 100 100
100100feb;100
Mar;100Apr;
100 100100100100Jun;
May; 100100 Jul;100
100 Aug;100100
100 Sep;100100
Oct;100100
Nov;100100
100 100100
90
80
70
60
50
40
30
20
10
0
Jan feb Mar Apr
May Jun Jul Aug
Sep Oct Nov Dec
standar capaian
100 100 100 100 100 100

100 100 100 100 100 100

100 100 100 100 100 100
100 100 100

100 100 100 100 100 100
100 100 100 100 100 100

TARGET 100 100 100 100 100 100
Kepatuhan pelaksanaan prosedur site marking
pada pasien yang akan dilakukan tindakan 40 30 30
operasi (100 %)
Kepatuhan pelaksanaan prosedur site marking pada pasien yang akan dilakukan tindakan operasi (100 %)
120
100 100 100 100
80
60
40 40
30 30
20
0
Jan feb Mar
Target Capaian
TARGET 100 100 100 100 100 100

pada pasien yang akan dilakukan tindakan 40 30 30 40 50 30
operasi (100 %)
120
100 100 100 100 100 100 100
80
60
50
40 40 40
30 30 30
20
0
Target Capaian
TARGET 100 100 100 100 100 100
operasi (100 %)
120
100 100 feb; 100 Mar; 100 Apr; 100 May;100100 100 100 100
80
60
50 50
40 40 40 40
30 30 30 30
20
0
standar capaian
TARGET 100 100 100 100 100 100

operasi (100 %)
120
100 100 feb; 100Mar; 100Apr; 100May; 100Jun; 100Jul; 100Aug; 100Sep; 100Oct; 100N100
ov; 100
80
60 60 60
50 50 50
40 40 40 40
30 30 30 30
20
0
standar capaian
100 100 100 100 100 100

100 100 100 100 100 100

100 100 100 100 100 100
30 40 50

100 100 100 100 100 100
30 40 50 60 50 60
TARGET 100 100 100 100 100 100
Kepatuhan pengisian surgical safety checklist

100 100 100
(100 %)
Kepatuhan pengisian surgical safety checklist (100 %)

100 100
100 100
100 100
100
80
60
40
20
0 Capaian
Jan feb
Target
Ma r
Ta rget Ca pa i an
TARGET 100 100 100 100 100 100

100 100 100 100 100 100
(100 %)

100 100 100
100 100 100 100 100
100 100 100
100 100
80
60
40
20
0 t
rge
Ja n feb Ma r Apr Ta
May Jun
Ta rget Capai an
TARGET 100 100 100 100 100 100
100 100 100 100 100 100
(100 %)
Kepatuhan
100
pengisian surgical safety checklist (100 %)
100 feb;100
Mar;100
100 Apr;100
100 May;100
100 100 100 100 100
100 100 100 100
100 100
90
80
70
60
50
40
30
20
10
0 r
Jan feb nda
Mar Apr May Jun Jul Aug Sep sta
BULAN sta nda r capai a n Jan feb Mar Apr May Jun
TARGET 100 100 100 100 100 100

100 100 100 100 100 100
(100 %)

100
100feb;100
100100
Mar; 100100
Apr; 100100
May; 100100
Jun; Jul;100
100 Aug;100
100 100100
Sep; 100100
Oct; 100100
Nov; 100
100
100 100
90
80
70
60
50
40
30
20
10
0
Jan feb Ma r Apr
May Jun Jul Aug
Sep Oct Nov Dec
standa r capaian
100 100 100 100 100 100

100 100 100 100 100 100

100 100 100 100 100 100
100 100 100

100 100 100 100 100 100
100 100 100 100 100 100

TARGET 85 85 85 85 85 85
Kepatuhan petugas melakukan handhigyne
dengan metode enam langkah dan five moment 84 80 84
(100 %)
Kepatuhan petugas melakukan handhigyne dengan metode enam langkah dan five moment (100 %)
86
85 85 85 85
84 84 84
83
82
81
80 80
79
78
77
Jan feb Mar
Target Capaian
TARGET 85 85 85 85 85 85
dengan metode enam langkah dan five moment 84 80 84 84 80 76
(100 %)
86
85 85 85 85 85 85
84 84 84 84
82
80 80 80
78
76 76
74
72
70
Target Capaian
TARGET 85 85 85 85 85 85
(100 %)
86
85 feb; 85 Mar; 85 Apr; 85 May;8585 85 85 85
84 84 84 84
82
80 80 80 80 80
86
85 feb; 85 Mar; 85 Apr; 85 May;8585 85 85 85
84 84 84 84
82
80 80 80 80 80
78
76 76 76
74
72
70
standar capaian
TARGET 85 85 85 85 85 85
(100 %)
86
85 feb; 85 Mar; 85Apr; 85May; 85Jun; 85Jul; 85 Aug; 85Sep; 85Oct; 85Nov;
85 85
84 84 84 84 84 84 84
82
80 80 80 80 80
78
76 76 76
74
72
70
standar capaian
85 85 85 85 85 85

85 85 85 85 85 85

85 85 85 85 85 85
80 76 80
85 85 85 85 85 85
80 76 80 84 84 84
TARGET 0 0 0 0 0 0
Angka insiden pasien jatuh selama perawatan

0 0 0
rawat inap (0 %)
Angka insiden pasien jatuh selama perawatan rawat inap (0 %)
1
0.8
0.6
0.4
0.2
0 0 0 Capaian
0
Jan0 feb0
Target
Ma0r
Ta rget Ca pa i an
TARGET 0 0 0 0 0 0

0 0 0 0 0 0
rawat inap (0 %)
1
0.8
0.6
0.4
0.2
0
0 0 0
Ja 0n 0
feb 0
Mar
0 0 0
0
Apr 0
May 0
Jun
Ta rget Capai a n

TARGET 0 0 0 0 0 0
0 0 0 0 0 0
rawat inap (0 %)

1
0.8
0.6
0.4
0.2
0 r
da
0 0 feb
Jan 0
feb; 0Ma r 0 0Apr 0 May 0 n
Mar; 0 0 Jul0 0 Aug
Apr; 0May; 0Jun
0 0 Sep
sta
0 0
sta nda r capai an

TARGET 0 0 0 0 0 0

0 0 0 0 0 0
rawat inap (0 %)

1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
Jan
0 0 feb
feb;00Mar
Mar;0 Apr
0 0 May0 Jun 0 Jul 0
Apr; 0May; 0Jun; 0Jul; 0Aug0 Sep 0 Oct 0 Nov0
Aug; 0Sep; 0Oct; 0Nov; Dec
00 0
standar capaian
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
0 0 0

0 0 0 0 0 0
0 0 0 0 0 0
TARGET 100 100 100 100 100 100
Angka Respontime Time Beda Cesar Amergency

100 100 66.7
≤ 30 menit (100 %)
Angka Respontime Time Beda Cesar Amergency ≤30 menit (100 %)

120
100 100 100 100
80
66.7
60
40
20
0
Ja n feb Ma r
BULAN Ta rget Jana n
Capai feb Mar Apr May Jun
TARGET 100 100 100 100 100 100

100 100 66.7 33.3 100 50
≤ 30 menit (100 %)
Angka Respontime Time Beda Cesar Amergency ≤ 30 menit (100 %)

120
100 100 100 100 100 100 100
80
66.7
60
50
40
33.3
20
0
BULAN Target Ca paia n Jan feb Mar Apr May Jun
TARGET 100 100 100 100 100 100

100 100 66.7 33.3 100 50
≤ 30 menit (100 %)

120
100 100 100 feb; 100 Mar; 100Apr;100

100 May;
100100 100 100 100
80
66.7
60
50
40
120
100 100 100 feb; 100 Mar; 100Apr;100

100 May;
100100 100 100 100
80
66.7
60
50
40
33.3
20
0 0
standa r ca pa ia n
TARGET 100 100 100 100 100 100

100 100 66.7 33.3 100 50
≤ 30 menit (100 %)

120
100 100 100 feb; 100Mar; 100

Apr;
100 100May; 100
Jun;
100 100Jul; 100Aug;
100 100
Sep; 100Oct; 100N100
ov; 100
80
66.7
60
50 50
40
33.3 33.3
20
0 0 0
standar capaian
100 100 100 100 100 100

100 100 100 100 100 100

100 100 100 100 100 100
100 0 100
100 100 100 100 100 100
100 0 100 0 33.3 50

TARGET 1 1 1 1 1 1
Angka Kematian Bayi dengan BB lahir > 1500

0 6.25 4.6
gram - ≤ 2500 gr (≤ 1 %)
Angka Kematian Bayi dengan BB lahir > 1500 gram - ≤ 2500 gr (≤ 1 %)

7
6 6.25
5
4.6
4
3
2
1 1 1 1
0 0
Ja n feb Ma r
BULAN Ta rget Capa ia n Jan feb Mar Apr May Jun
TARGET 1 1 1 1 1 1

0 6.25 4.6 5.7 5.1 2.8
gram - ≤ 2500 gr (≤ 1 %)

7
6 6.25
5.7
5 5.1
4.6
4
3 2.8
2
1 1 1 1 1 1 1
0 0
BULAN Jan feb Mar Apr May Jan Jun feb Mar Apr May Jun

0 6.25 4.6 5.7 5.1 2.8
gram - ≤ 2500 gr (≤ 1 %)

7
6 6.25
5.7
5 5.1 4.9
4.6
4
3
7
6 6.25
5.7
5 5.1 4.9
4.6
4
3 2.8
2.3
2
1 1 1 1 1
0 0 0
standar capaian
TARGET 1 1 1 1 1 1

0 6.25 4.6 5.7 5.1 2.8
gram - ≤ 2500 gr (≤ 1 %)

7
6 6.25
5.7
5 5.1 4.9 5
4.6
4
3 2.8
2.3 2.4
2
1 1 feb; 1 Mar; 1Apr; 1 May; 1Jun; 1 Jul; 1 Aug; 1 Sep; 1 Oct; 1 Nov;
1 1
0 0 0 0
standar capaian
1 1 1 1 1 1

1 1 1 1 1 1

1 1 1 1 1 1
0 2.3 4.9
1 1 1 1 1 1
0 2.3 4.9 0 5 2.4

TARGET 20 20 20 20 20 20
Angka Pertolongan Persalinan SC Tanpa

36.6 27.4 42.9
Rujukan (≤ 20 %)
Angka Pertolongan Persalinan SC Tanpa Rujukan (≤20 %)

50
45 42.9
40
35 36.6
30
27.4
25
20 20 20 20
15
10
5
0
Ja n feb Ma r
Ta rget Capai a n
TARGET 20 20 20 20 20 20

36.6 27.4 42.9 33.1 35.1 41.7
Rujukan (≤ 20 %)
Angka Pertolongan Persalinan SC Tanpa Rujukan (≤ 20 %)

50
45 42.9
40 41.7
35 36.6 35.1
33.1
30
27.4
25
20 20 20 20 20 20 20
15
10
5
0
BULANJan feb Ma r Apr
Jan
May
febJun Mar Apr May Jun
TARGET Ta rget Ca pai an
20 20 20 20 20 20

36.6 27.4 42.9 33.1 35.1 41.7
Rujukan (≤ 20 %)
Angka Pertolongan Persalinan SC Tanpa Rujukan

(≤ 20 %)
50
45 46.4
42.9 41.7 41.7 42.8
40
35 36.6 33.1 35.1
30
27.4
25
Angka Pertolongan Persalinan SC Tanpa Rujukan
(≤ 20 %)
50
45 46.4
42.9 41.7 41.7 42.8
40
35 36.6 33.1 35.1
30
27.4
25
20 20 feb; 20 Mar; 20 Apr; 20 May;
20 20 20 20 20
15
10
5
0
standa r ca pai a n
TARGET 20 20 20 20 20 20

36.6 27.4 42.9 33.1 35.1 41.7
Rujukan (≤ 20 %)
Angka Pertolongan Persalinan SC Tanpa Rujukan (≤ 20 %)

50
45 46.4
42.9 41.7 41.7 42.8 43.9
40
37.8
35 36.6 33.1 35.1
30 28.9
27.4
25
20 20 feb; 20 Mar; 20Apr; 20May; 20Jun; 20Jul; 20 Aug; 20Sep; 20Oct; 20Nov;
20 20
15
10
5
0
standa r capai an
20 20 20 20 20 20

20 20 20 20 20 20

20 20 20 20 20 20
41.7 46.4 42.8

20 20 20 20 20 20
41.7 46.4 42.8 43.9 37.8 28.9

TARGET 1 1 1 1 1 1
Angka Kematian Ibu Karena Persalinan

0 0 3.2
(Perdarahan ≤ 1 %)
Angka Kematian Ibu Karena Persalinan (Perdarahan ≤ 1 %)

3.5
3.2
3
2.5
2
1.5
1 1 1 1
0.5
0 0 0
Jan feb Mar
BULAN Ta rget Capai a n Jan feb Mar Apr May Jun
TARGET 1 1 1 1 1 1

0 0 3.2 0 1.5 0

3.5
3.2
3
2.5
2
1.5 1.5
1 1 1 1 1 1 1
0.5
0 0 0 0 0
Jan feb Marget
Ta r AprCa pa i an May Jun
TARGET 1 1 1 1 1 1

0 0 3.2 0 1.5 0

3.5
3.2
3
2.5
2
1.5 1.5
3.5
3.2
3
2.5
2
1.5 1.5
1 1 1 1 1
0.5
0 0 0 0 0 0 0 0
BULAN standar ca paian Jan feb Mar Apr May Jun

TARGET 1 1 1 1 1 1

0 0 3.2 0 1.5 0

3.5
3.2
3
2.5
2
1.5 1.5
1 1 feb; 1 Mar; 1 Apr; 1 May; 1 Jun; 1 Jul; 1 Aug; 1 Sep; 1 Oct; 1 Nov;
1 1
0.5
0 0 0 0 0 0 0 0 0 0 0
standar capai an
1 1 1 1 1 1

1 1 1 1 1 1

1 1 1 1 1 1
0 0 0
1 1 1 1 1 1
0 0 0 0 0 0
TARGET 30 30 30 30 30 30
Angka Kematian Ibu Karena Persalinan (Pre-

4 0 2
eklamsi ≤ 30 %)
Angka Kematian Ibu Karena Persalinan (Pre-eklamsi ≤ 30 %)

35
30 30 30 30
25
20
15
10
5 4
2
0 0
Ja n feb Ma r
BULAN Ta rget Capa i an
TARGET 30 30 30 30 30 30

4 0 2 0 0 0
eklamsi ≤ 30 %)
Angka Kematian Ibu Karena Persalinan (Pre-eklamsi ≤ 30 %)

35
30 30 30 30 30 30 30
25
20
15
10
5 4
2
0 0 0 0 0
BULANJa n feb Mar Apr Jan
May febJun Mar Apr May Jun
Ta rget Ca pa i an 30
TARGET 30 30 30 30 30

4 0 2 0 0 0
eklamsi ≤ 30 %)

(Pre-eklamsi ≤ 30 %)
35
30 30 feb; 30 Mar; 30 Apr; 30 May;
30 30 30 30 30
25
20
35
30 30 feb; 30 Mar; 30 Apr; 30 May;
30 30 30 30 30
25
20
15
10
5 4
2 1.9
0 0 0 0 0 0 0
BULAN standar capai a n Jan feb Mar Apr May Jun
TARGET 30 30 30 30 30 30

4 0 2 0 0 0
eklamsi ≤ 30 %)

35
30 30 feb; 30 Mar; 30Apr; 30May; 30Jun; 30Jul; 30 Aug; 30Sep; 30Oct; 30Nov;
30 30
25
20
15
10
5 4
2 1.9
0 0 0 0 0 0 0 0 0 0
Ja n feb Ma r Apr May Jun Jul Aug Sep Oct Nov Dec
sta ndar capaia n
30 30 30 30 30 30

30 30 30 30 30 30

30 30 30 30 30 30
0 1.9 0
30 30 30 30 30 30
0 1.9 0 0 0 0
TARGET 60 60 60 60 60 60
Terlaksananya kegiatan pencatatan dan

70 60 68
pelaporan TB di RS (≥60%)
Terlaksananya kegiatan pencatatan dan pelaporan TB di RS (≥60%)

72
70 70
68 68
66
64
62
60 60 60 60
58
56
54
Jan feb Mar
Ta rget Ca pa i an
TARGET 60 60 60 60 60 60

70 60 68 77.75 68.9 68.4

90
80 77.75
70 70 68 68.9 68.42
60 60 60 60 60 60 60
50
40
30
20
10
0
Jan febJun Mar Apr May Jun
Target Capa i an
TARGET 60 60 60 60 60 60

70 60 68 77.75 68.9 68.4

90
80 77.75
70 70 72
68 68.9 68.42
60 60 60 feb; 60 Mar; 60 Apr; 60 May;
6060 62.5
60 61.9
60 60
50
90
80 77.75
70 70 72
68 68.9 68.42
60 60 60 feb; 60 Mar; 60 Apr; 60 May;
6060 62.5
60 61.9
60 60
50
40
30
20
10
BULAN
0
Ja n
TARGET feb Ma r Apr May Jun Jul 60 Aug60 Sep60 60 60 60
standa r ca pa i a n
70 60 68 77.75 68.9 68.4

90
80 77.75
70 70 72 69.6
68 68.9 68.42
60 60 60 62.5 61.9
feb; 60 Mar; 60Apr; 60May; 60Jun; 60Jul; 60 Aug; 60Sep; 60Oct; 60Nov;
60 60
54.16
50 50
40
30
20
10
0
standar capaian
60 60 60 60 60 60

60 60 60 60 60 60

60 60 60 60 60 60
62.5 61.9 72
60 60 60 60 60 60
62.5 61.9 72 69.6 50 54.16

Insiden Keselamatan Pasien 1 0 0 1 0 0 0 0
Angka pelaporan insiden k

( KTD, KNC, KTC,
1.2
1
0.8
0.6
0.4
0.2
0
Jumlah
Sep Oct Nov Dec
1 0 0 0
elaporan insiden keselamatan pasien

( KTD, KNC, KTC, Sentinel )
pr May Jun Jul Aug Sep Oct Nov Dec

Jumlah Row 4

Wa0000

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Gross Date Rate ( GDR ) ( ≤ 40 permill )

Angka kematian pasien di UGD ( 0 % )

Gross Date Rate ( GDR ) ( ≤ 40 permill )

Gross Date Rate ( GDR ) ( ≤ 40 permill )

Gross Date Rate ( GDR ) ( ≤ 40 permill )

jun jul aug s ep

Nett Date Rate ( NDR ) ( ≤ 25 permill )

Nett Date Rate ( NDR ) ( ≤ 25 permill )

Nett Date Rate ( NDR ) ( ≤ 25 permill )

Nett Date Rate ( NDR ) ( ≤ 25 permill )

jun 24.9 12.78 20

Nett Date Rate ( NDR ) ( ≤ 25 permill )

jul 24.9 5.67 25

aug 24.9 9.66 20

.66 9.22 9.98

Angka kematian pasien di UGD ( 0 % )

Angka kematian pasien di UGD ( 0 % )

Angka kematian pasien di UGD ( 0 % )

Angka kematian pasien di UGD ( 0 % )

Angka kematian pasien di UGD ( 0 % )

Waktu tunggu hasil pelayanan laboratorium kimia klinik, darah ≤ 140 m

Waktu tunggu hasil pelayanan laboratorium kimia klinik, darah ≤ 14

jun 90 91.49 92 91.09 91.49

Waktu tunggu hasil pelayanan laboratorium kimia klinik, darah ≤ 14

ium kimia klinik, darah

k, darah ≤ 140 menit ( 90 % )

linik, darah ≤ 140 menit ( 90 % )

n laboratorium kimia klinik, darah

jun jul aug s ep

linik, darah ≤ 140 menit ( 90 % )

atorium kimia klinik, darah

aug s ep oct nov des

Waktu tunggu pelayanan foto thorax rawat jalan

Waktu tunggu pelayanan foto thorax rawat jalan

Waktu tunggu pelayanan foto thorax rawat jalan

Waktu tunggu pelayanan foto thorax rawat jalan

Waktu tunggu pelayanan foto thorax rawat jalan

foto thorax rawat jalan

19.74 18.13 19.74

a ug s ep oct nov des

Angka reject hasil rontgen ≤ 2 %

Angka reject hasil rontgen ≤ 2 %

Angka reject hasil rontgen ≤ 2 %

Angka reject hasil rontgen ≤ 2 %

Angka reject hasil rontgen ≤ 2 %

a ug s ep oct nov des

Angka kejadian kematian di meja

Angka kejadian kematian di meja operasi ( ≤ 1 % )

Insiden tertinggalnya benda asing pada tubuh pasien setelah opearsi ( 0 % )

Komplikasi anasthesi karena overdosis , reaksi

Tidak adanya kejadian salah sisi ( 100 % )

Tidak adanya kejadadian salah orang ( 100 % )

Kejadian salah tindakan pada operasi ( 0 % )

Angka kejadian kematian di meja

Angka kejadian kematian di meja operasi ( ≤ 1 % )

Insiden tertinggalnya benda asing pada tubuh pasien setelah opearsi ( 0 % )

Tidak adanya kejadadian salah orang ( 100 % )

Kejadian salah tindakan pada operasi ( 0 % )

Angka kejadian kematian di meja

Angka kejadian kematian di meja operasi ( ≤ 1 % )

Insiden tertinggalnya benda asing pada tubuh pasien setelah opearsi ( 0 % )

Tidak adanya kejadian salah sisi ( 100 % )