There are several factors that can affect employee performance, namely the work environment, leadership style and work motivation. The work environment is the conditions that exist around the workplace including aspects of temperature, lighting, air, sound and layout. Leadership style is one of the factors that can build a comfortable work environment. While work motivation is a condition that is formed from a sense of comfort in the work environment and leadership style so that employees are able to work well. The aim of this study was to determine the effect of the work environment, leadership style and work motivation on employee performance. The method used is a quantitative descriptive analysis method. The results of the study show that all factors that can influence employee performance have a positive effect. The existence of this research is expected to be able to show that aligning employee performance factors needs to be continuously developed in order to be able to improve employee performance. Because when employees work well, the company will be younger in achieving its vision and mission.

Service quality can be a driving force that is created and perceived by patients in order to establish a relationship that can provide long-term mutual benefits with the hospital. Service quality will affect patient satisfaction, thus encouraging patients to continue using hospital services when needed. The purpose of this study was to determine the effect of service quality on patient satisfaction. This research is a case study with a cross-sectional design. The population is inpatients at RSI Purwodadi. A sample of 100 patients was taken by purposive sampling. Data collection used a questionnaire. Data analysis technique used multiple linear regression. The results showed that service quality significantly affected patient satisfaction with an F of 14.641 and a p of 0.000 (p < 0.05). The tangible dimension of service quality has no effect on patient satisfaction (t = 0.809, p = 0.421). As for service quality, the dimensions of reliability (t = 2.028, p = 0.045), responsiveness (t = 3.135, p = 0.002), assurance (t = 2.613, p = 0.010), and empathy (t = 2.480, p = 0.015) have a positive effect and significant to patient satisfaction. The study concludes that service quality has a significant effect on patient satisfaction. The tangible dimension of service quality does not affect patient satisfaction. Service quality dimensions of reliability, responsiveness, assurance, and empathy positively and significantly affect patient satisfaction