<![CDATA[Background: The quality of hospital healthcare services can be measured through the periodic reporting of National Quality Indicators (NQI). NQI reporting constitutes a crucial component in quality improvement efforts and hospital accreditation assessment, as stipulated in Minister of Health Regulation No. 30 of 2022. However, some hospitals remain non-compliant with reporting requirements, necessitating a comprehensive evaluation of the underlying challenges. Objective: This study aimed to evaluate compliance with NQI reporting in hospitals that have never submitted reports by analyzing input, process, and output factors influencing its implementation. Methods: A qualitative study with an evaluative approach was conducted through in-depth interviews, observation, and document review. Informants included the Hospital Quality Assurance Officer and the Quality Team of the West Java Provincial Health Office. Data were analyzed using thematic analysis based on the Input–Process–Output (IPO) framework. Results: Compliance with NQI reporting was influenced by input factors, including staff knowledge and understanding, availability of infrastructure, the presence of standard operating procedures (SOPs), and training. In the process component, technical application issues, reporting delays, and suboptimal internal monitoring were identified. From the output perspective, non-compliance affected hospital accreditation processes and highlighted the need for technical guidance and capacity-building from the Health Office. Conclusion: Compliance with NQI reporting is strongly influenced by input readiness, smooth reporting processes, and supportive evaluation and supervision. Strengthening staff capacity, improving system and application support, and ensuring consistent internal monitoring are essential to enhance NQI reporting compliance.]]>
