| No. | Judul Indikator | Standar | Januari | Februari | Maret | April | Mei | Juni |
| 1. | Kepatuhan Identifikasi Pasien | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| 2. | Emergency Response Time (Waktu Tanggap Pelayanan Gawat Darurat ≤ 5 menit) | 100% (≤ 5 menit) | 100% | 100% | 100% | 100% | 100% | 99.56% |
| 3. | Waktu Tunggu Rawat Jalan | ≤ 60 menit | 40.62 menit | 36.93 menit | 41.47 menit | 41.60 menit | 40.01 menit | 42.29 menit |
| 4. | Penundaan Operasi Elektif | < 5% | 0% | 0% | – | – | – | – |
| 5. | Kepatuhan Jam Visite Dokter Spesialis | ≥ 80% | 100% | 100% | – | – | – | – |
| 6. | Waktu Lapor Hasil Tes Kritis Laboratorium | 100% (≤ 30 menit) | – | – | – | – | – | – |
| 7. | Kepatuhan Penggunaan Formularium Nasional | ≥ 80% | 97.0% | 98.2% | 96.8% | 97% | 100% | 100% |
| 8. | Kepatuhan Kebersihan Tangan (Hand Hygiene) | ≥ 85% | 85.99% | 83.17% | 85.39% | 92.30% | 92.50% | 90.53% |
| 9. | Kepatuhan Terhadap Clinical Pathway | ≥ 80% | 90% | 90.90% | 91.30% | – | – | – |
| 10. | Kepatuhan Upaya Pencegahan Risiko Pasien Jatuh | 100% | 100% | 100% | – | – | – | – |
| 11. | Kepuasan Pasien dan Keluarga | ≥ 80% | 92.37% | 90.70% | – | – | – | 94.80% |
| 12. | Kecepatan Waktu Tanggap Komplain | > 75% | 100% | – | – | – | – | – |