Background : RSUD Salatiga is a public service institution that must still be able to provide health services to the public even in the event of a disaster emergency. Therefore RSUD Salatiga must organize preparedness management system and emergency response in facing disaster both because of internal and external disaster. The purpose of this research is to know the readiness and ability of RSUD Salatiga in handling disaster, so that all members or employees of hospital can understand about disaster, how to overcome it and how its application in hospital. Methods : types and design of this study are qualitative, with data collection techniques performed by participative observation (Bungin, 2007: 115), structured interviews by Focus Group Discussion (FGD), collecting existing documentary materials, and combined Of the three. While the technique of data analysis using case study approach. The population of staff or employees of the hospital, with the number of respondents 4 people, data analysis is done by case study. Results and Discussion : RSUD Salatiga already has a book Disaster Preparedness Planning for Hospital, but it is outdated. So it needs to be evaluated and revised. No organizational structure of Disaster Preparedness Team has been established in RSUD Salatiga. Both the medical service and the managerial side of RSUD Salatiga support the implementation of disaster preparedness, but not ready as a whole. These include preparedness on preparing triage areas, labels and signs, preparing human resources with capability in accordance with service standards and competency standards, preparing specific procedures or SOP (Standard Operating Procedures) in carrying out medical support, preparing Command Post, preparing backup human resources, preparing logistics needs, preparing decontamination areas, preparing facilities for communication facilities (especially procurement of Handy Talky communication tools). RSUD Salatiga in terms of building a communications system and coordination in an integrated manner in order to deal xviii with disaster emergency has installed an internal communication network using Aiphone, but does not yet have a wireless communication tool that is Handy Talky to make it easier, efficient and effective in communicating and coordinating between personnel and inter-room without interruption in case of cable break due to disaster. In establishing cooperation on communication and coordination with related parties (Fire Bureau, Indonesian Red Cross, Public Safety Center - 119, Police, City Health Office, and surrounding hospitals) have not been established. RSUD Salatiga has not yet established an implementation program of contingency plans (disaster management). Conclusion : Currently RSUD Salatiga in case of emergency situations and conditions of disaster will occur confusion in the case of disaster management and error information about the victims and the condition of physical damage, facilities and infrastructure due to the lack of organizational structure of Disaster Preparedness Team, although from the findings of research and discussion that RSUD Salatiga already has a book on Disaster Preparedness Planning for Hospitals, but it has also been outdated. So that will make it difficult for management, especially the director as the head of the hospital in terms of policy making for emergency disaster management. Then if there is distribution of aid and logistics distribution will also be difficult to be monitored properly, due to lack of good coordination system, so that emergency response activities become less measurable, objective and objective priority. In other words, RSUD Salatiga as a whole is not ready yet in facing disaster emergency situation. Keywords: disaster preparedness, disaster response, disaster management