| NO | Indikator | Target | Januari | Februari | Maret | April | Mei | Juni | Juli | Agustus | September | Oktober | November | Desember |
| 1 | Kepatuhan Identifikasi Pasien | 100% | 90.2% | 83.7% | 87.7% | 90.5% | 89.3% | 90.7% | 88.4% | 91.4% | 93% | 91.1% | 87.9% | 88.6% |
| 2 | Emergency Response Time (Waktu Tanggap Pelayanan Gawat Darurat ≤ 5 menit) | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| 3 | Waktu Tunggu Rawat Jalan | 60 menit | 27.64 | 27.27 | 29.28 | 26.45 | 34.47 | 31.09 | 29.37 | 33.68 | 30.88 | 25.82 | 25.37 | 22.03 |
| 4 | Penundaan Operasi Elektif | 5% | 17.5% | 25.7% | 17.3% | 16.4% | 12.6% | 17.1% | 15.4% | 15.9% | 14.5% | 15.7% | 15% | 13.6% |
| 5 | Kepatuhan Jam Visite Dokter Spesialis | 80% | 61.8% | 66.1% | 65.3% | 73.1% | 76.1% | 73.8% | 70.9% | 71.4% | 71.4% | 72.3% | 73.5% | 73.4% |
| 6 | Waktu Lapor Hasil Tes Kritis Laboratorium | 100% | 99.5% | 99.6% | 99.5% | 99.5% | 99.6% | 99.1% | 99.7% | 99.6% | 99.7% | 99.1% | 99.5% | 98.9% |
| 7 | Kepatuhan Penggunaan Formularium Nasional | 80% | 98.7% | 98.5% | 99% | 99.4% | 99.6% | 99.6% | 99.8% | 99.8% | 99.5% | 99.6% | 99.6% | 98.4% |
| 8 | Kepatuhan Cuci Tangan | 85% | 69.9% | 70.2% | 68.9% | 79.7% | 80.8% | 79% | 79% | 80.5% | 80.7% | 89.4% | 90.3% | 91.4% |
| 9 | Kepatuhan Upaya Pencegahan Risiko Cedera Akibat Pasien Jatuh Pada Pasien Rawat Inap | 100% | 89.6% | 93.1% | 92.1% | 92.3% | 91.9% | 91.8% | 92.5% | 92.9% | 91.9% | 92% | 90.9% | 91.1% |
| 10 | Kepatuhan Terhadap Clinical Pathway | 80% | 73% | 75.2% | 78.1% | 77.6% | 79.4% | 80% | 91.3% | 95.3% | 96.5% | 87.2% | 90.7% | 93% |
| 11 | Kepuasan Pasien dan Keluarga | 80% | 77% | 76.3% | 76.9% | 75.9% | 76.3% | 76.9% | 76.4% | 77.9% | 78.1% | 77.6% | 77.8% | 77.8% |
| 12 | Kecepatan Respon Terhadap Komplain | 75% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |