Bulan

No Chapter/Fokus Area Indikator Target Rerata Tahun 2021

Jan Feb Mar Apr Mei Jun Jul Agust Sep Okt Nop Des
1 SKP 1 Kepatuhan Identifikasi Pasien-KIP 1 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%

2 SKP 1 Kepatuhan Identifikasi Pasien-KIP 2 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%

3 SKP 1 Kepatuhan Identifikasi Pasien-KIP 3 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%

4 SKP 1 Kepatuhan Identifikasi Pasien-KIP 4 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%

Pelaporan hasil kritis laboratorium <30

5 SKP 2 100% 100% 100% 100% 100% 100% 99% 100% 98.70% 100% 100% 100% 100% 99.71%
menit
6 SKP 5 Kepatuhan Kebersihan tangan 85% 86.75% 85.60% 85.50% 86% 86% 86% 85.83% 85.77% 85.53% 90.21% 85.59% 86.00% 85.93%
Kepatuhan Upaya pencegahan risiko
7 SKP 6 100% 100% 100% 100% 100% 99% 100% 100% 99% 100% 100% 100% 100% 99.75%
pasien jatuh
Kepatuhan pengkajian risiko jatuh rawat
8 SKP 6 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
jalan pasien geriatri
9 Bad Performances Penundaan operasi elektif <5% 0.50% 1.20% 0.35% 0.83% 0.55% 1.10% 0.85% 1.15% 1.30% 1.03% 1.20% 1.10% 0.93%
10 Consumer's Focused Ketepatan waktu visit dokter spesialis >80% 82.51% 84.54% 85% 76% 81% 90.85% 77.13% 75.29% 74.3% 74.8% 70.4% 82.1% 79.49%

11 Consumer's Focused Ketepatan waktu tanggap komplain 100% 100% 100% 97.67% 100% 97% 100% 100% 100% 100% 100% 100% 100% 99.5%
12 Service Excellence Kepuasan pasien dan keluarga 76.6% 97.74% 97.86% 97.67% 97.30% 96.79% 97.72% 97.85% 96.20% 98.34% 99.00% 99.00% 99.00% 97.87%
13 Prevention and Control of Infection Kepatuhan penggunaan APD 100% 96% 96% 94% 88% 94% 96% 98% 98% 100% 100% 100.00% 96.00% 96%
Kepatuhan penggunaan formularium
14 Efficiency 80% 92.17% 94.04% 98.92% 99.69% 100% 100% 100% 100% 99.94% 100% 99.47% 99.38% 98.63%
nasional
Kepatuhan terhadap alur klinis (clinical
15 Clinical Outcome 80% 97.44% 96% 94% 93.58% 94.19% 97% 96% 95% 94% 93.89% 94% 95.01%
pathway)
Kepatuhan DPJP mendokumentasikan
16 Coordination of Care 100% 86% 86% 82.54% 50% 84% 84% 85% 84% 86% 86% 84.00% 82%
edukasi dan informasi penyakit pasien
Waktu tanggap operasi seksio sesarea
17 Program Nasional-PONEK >80% 75% 40% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 93%
emergensi <30 menit
18 Consumer's Focused Waktu tunggu rawat jalan <60 menit 57 26 55 54 50 59.34 58 60.73 57 59 56 53 53.8
19 Strategic Initiative Utilisasi APM pasien rawat jalan 70% 72% 67% 73% 76% 77.01% 86.60% 86.01% 80.70% 84.02% 82.98% 86.00% 87.00% 79%
Ketepatan pemberian antibiotik
20 Program Nasional profilaksis 30-60 menit sebelum sayatan 85% 85.10% 83% 85% 87.50% 82% 84% 84% 83% 84.00% 84.00% 86.00% 85.00% 84%
pertama pada operasi