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ABSTRACImplementation of Health Service Quality Improvement in the IGD Meloy Sangatta Hospital in East Kutai Regency. Thesis: Master of Public Administration Study Program, Merdeka University Malang in 2020. The hospital is a health service facility that organizes complete individual health services. The Emergency Room is a part of the hospital service that provides medical services quickly and can reduce mortality, morbidity and disability. Meloy Sangatta Hospital is a type C Hospital which has a standard emergency response time <5 minutes after the patient arrives. the success of emergency medical response is the speed of providing assistance to emergency patients.This research is motivated by the fact that the response time in several hospital emergency departments is still relatively slow, so that more optimal service improvements are needed. Several factors cause long response times in most emergency departments, namely insufficient equipment, long registration procedures, large numbers of patients, and limited human resources are the main causes of long service time, given the important impact of response time on service quality. in the emergency department, researchers are interested in researching the quality of service in the emergency room at Meloy Sangatta Hospital. This research is a qualitative study with the aim of providing a broad and in-depth picture of improving the quality of health services in the IGD Meloy Sangatta Hospital. Data collection by direct interviews and direct field observation, then processed into results and discussion of research results and include useful conclusions and suggestions. for the emergency room of Meloy Hospital. This research is a qualitative study with the aim of providing a broad and in-depth picture of improving the quality of health services in the emergency room at Meloy Sangatta Hospital. Data collection by direct interviews and direct observation in the field, then processed into results and discussion of research results and include useful conclusions and suggestions for the Emergency Room at Meloy Hospital. The results showed that the implementation of improving the quality of services in the IGD Meloy Sanngatta Hospital was influenced by four variables such as lack of communication, inadequate resources, disposition, and bureaucratic structures or mechanisms at work.