Premier Bintaro Hospital consistently strives to review and monitor every aspect of its services. One way to do this is by conducting monitoring based on service data, including quality indicator data.

As a healthcare provider focused on improving service quality, Premier Bintaro Hospital consistently reviews and monitors every aspect of its services. One way to do this is by conducting monitoring based on service data, including quality indicator data. This indicator data will be processed into information that can be used to make service activities more productive, transparent, orderly, fast, easy, accurate, integrated, safe, and efficient. This quality indicator data also has a specific purpose: to expedite and simplify policy development to improve the healthcare system at Premier Bintaro Hospital.

1. Compliance with Patient Identification Procedures

Analysis:

The average patient identification procedure compliance rate for the January-December 2025 period was 99%. Compared to the National Quality Indicator (NIM) target of 100%, the achievement is still below the target value. Monitoring of the patient identification process is carried out in the following procedures:

  • Medication administration
  • Nutrition administration
  • Blood and blood product administration
  • Specimen collection
  • Before performing diagnostic/therapeutic procedures
  • Registration procedures
  • Outpatient payment procedures
  • Medication dispensing procedures at the outpatient pharmacy
  • Anatomical pathology examination procedures
  • Physiotherapy service procedures
  • Radiology service procedures

Efforts made for continuous improvement include:

The patient safety sub-quality committee, in collaboration with the SKP/IPSG champion and the training division, conducts continuous education annually.

Conducts re-education and training in areas where identification procedures still require improved compliance.

2. Hand Hygiene Compliance

Analysis:

Average handwashing compliance achievement for the period January - December 2025: 94%. Compared to the National Quality Indicator (INM) target of ≥ 85%, handwashing compliance achievement is still above the target value.

Efforts that have been made for continuous improvement include:

  • ICN collaborates with IPCLN and Hand Hygiene Champions in each work unit to ensure all employees and doctors consistently perform proper handwashing, especially in units/areas that still need to improve compliance.
  • Education is also provided to all staff and doctors in the form of annual competency tests regarding hand hygiene procedures.
  • ICN and IPCLN supervise to ensure the facilities and infrastructure needed to support hand hygiene are available.
  • Creating periodic reminders and paging throughout the hospital area to promote proper handwashing.
3. Compliance with Patient Fall Risk Prevention Efforts

Analysis:

Average compliance with fall risk prevention efforts for inpatients in the January-December 2025 period was 97.6% (in line with the INM target of 100%). This is due to the need for consistent implementation of patient reassessments after several days of treatment based on the last risk category.

  • The fall risk prevention procedures implemented are:
  • Fall risk screening in the ER
  • Initial patient assessment
  • Patient reassessment
  • Education on patient fall risk during hospitalization and application of fall risk bracelets

Efforts that have been implemented for continuous improvement include:

Providing coaching and counseling during nursing supervision, particularly in ensuring consistency in patient reassessments according to established procedures.

4. Compliance with the Use of PPE

Analysis:

Average compliance with fall risk prevention efforts for inpatients in the January-December 2025 period was 97.8%. Compared to the National Quality Indicator (INM) target of 100%, the achievement is still below target.

Monitoring procedures for the use of Personal Protective Equipment (PPE) is being conducted in several nursing units, medical support units, and other units.

Efforts that have been made for continuous improvement include:

  • Reminding and reassuring doctors, nurses, and other unit staff who use PPE such as masks, gloves, goggles/face shields, and hair caps about the procedures and procedures for their unit's services.
  • Providing information media on the procedures for donning and removing PPE in the ward.
  • Ensuring that infectious waste bins are available and that nurses, doctors, and other unit staff consistently dispose of PPE in the appropriate waste bins.
  • Ensuring the availability of PPE needed by the unit.
5. Complaint Response Time Speed

Analysis:

The average response time to complaints received during the January-December 2025 period was 99.9%. Compared to the National Quality Indicator (INM) target of ≥ 80%, this achievement is still above the target value.

Efforts made for continuous improvement include:

  • Ensuring that all complaints received by the customer care unit are monitored and responded to promptly.
  • Creating a digital complaint feedback monitoring system to ensure that complaints are acknowledged and responded to promptly.
6. Accuracy of Use of the National Formulary (FORNAS)

Analysis:

Average compliance with the National Formulary for the January-December 2025 period: 96%. Compared to the National Quality Indicator (INM) target of ≥ 80%, this achievement is already above the target.

Efforts made for continuous improvement include:

  • Ensuring the availability of drugs according to the National Formulary
  • Encouraging doctors to comply with the National Formulary
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RS Premier Careline 1 500 908