| No. | Judul Indikator | Standar | Mei | Juni | Juli | Agustus | September |
| 1. | Kepatuhan Identifikasi Pasien | 100% | 95.4% | 85.31% | 92.97% | 98.19% | 99.19% |
| 2. | Emergency Response Time (Waktu Tanggap Pelayanan Gawat Darurat ≤ 5 menit) | 100% (≤ 5 menit) | 100% | 98.9% | 98.64% | 100% | 100% |
| 3. | Waktu Tunggu Rawat Jalan | ≤ 60 menit | 40.79 menit | 45.33 menit | 39.57 menit | 38.34 menit | 37.89 menit |
| 4. | Penundaan Operasi Elektif | < 5% | 0% | – | 0% | 0% | – |
| 5. | Kepatuhan Jam Visite Dokter Spesialis | ≥ 80% | 92.85% | 100% | 100% | 100% | – |
| 6. | Waktu Lapor Hasil Tes Kritis Laboratorium | 100% (≤ 30 menit) | – | – | – | – | – |
| 7. | Kepatuhan Penggunaan Formularium Nasional | ≥ 80% | 96.70% | 91.7% | 92.8% | 92% | 93.66% |
| 8. | Kepatuhan Kebersihan Tangan (Hand Hygiene) | ≥ 85% | 93.17% | 87.40% | 89% | 92.47% | 90.53% |
| 9. | Kepatuhan Terhadap Clinical Pathway | ≥ 80% | 6.5% | 15.7% | 57.4% | 52% | 78.57% |
| 10. | Kepatuhan Upaya Pencegahan Risiko Pasien Jatuh | 100% | 0% | 100% | 100% | 100% | – |
| 11. | Kepuasan Pasien dan Keluarga | ≥ 80% | 82.5% | 87% | 92% | 89.6% | 89.78% |
| 12. | Kecepatan Waktu Tanggap Komplain | > 75% | 100% | 100% | 100% | 100% | 100% |