| Judul Indikator | Standar | Januari | Februari | Maret | April | Mei | Juni | Juli | Agustus | September | Oktober | November | Desember |
| Kepatuhan Identifikasi Pasien | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| Kepatuhan Penggunaan APD | ≥ 85% | 93,31% | 90,83% | 91,93% | 91,64% | 90,1% | 89,11% | 87,53% | 89,67% | 89,34% | 91,2% | 93,58% | 93,68% |
| Waktu Tunggu Rawat Jalan | ≥ 80% | 93,18% | 93,46% | 95,01% | 97,7% | 97,86% | 93,25% | 96,16% | 95,77% | 94,69% | 96,38% | 93,37% | 96,9% |
| Penundaan Operasi Elektif | < 5% | – | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% |
| Kepatuhan Jam Visite Dokter Spesialis | ≥ 80% | – | 100% | 100% | 100% | 100% | 100% | 100% | 80% | 100% | 100% | 100% | 50% |
| Kepatuhan Penggunaan Formularium Nasional | ≥ 80% | 96% | 97% | 96% | 97% | 100% | 96,7% | 98,6% | 95,09% | 98,91% | 98,17% | 94,15% | 93,85% |
| Kepatuhan Kebersihan Tangan (Hand Hygiene) | ≥ 85% | 87,16% | 87,89% | 87,82% | 87,46% | 86,41% | 85,79% | 83,97% | 85,82% | 86,29% | 87,2% | 86,07% | 87,01% |
| Kepatuhan Upaya Pencegahan Risiko Pasien Jatuh | 100% | – | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| Kepuasan Pasien dan Keluarga | ≥ 90% | 90,46% | 92,6% | 91,76% | 91,21% | 91,58% | 91,33% | 92,18% | 91,53% | 91,28% | 96,78% | 90,82% | 91,93% |
| Kecepatan Waktu Tanggap Komplain | >90% | 100% | – | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |