Organizational performance, can be shown by the performance of services in the public sector. Human performance plays a major role in customer perceptions of service quality. This study aims to determine the efforts to improve the excellent service performance of Puskesmas Playen II employees in Gunungkidul Regency. Using qualitative research methods with a descriptive approach. Data collection techniques with observation, interviews and documentation. The analysis used data reduction, data presentation, and conclusion. The technique of checking the validity of the data with perseverance of observation, confirmation, triangulation. The result, service quality has fulfilled SERVQUAL in improving employee excellent service performance, performance improvement indicators are also met. The efforts made to improve the excellent service performance of employees are: (1) repair and refinement of infrastructure, (2) Evaluation of routine employee performance, (3) Training is based on evaluation, so that it is on target, (4) Making values in serving (5) Routine satisfaction index survey to find out what service performance needs to be improved (6) Division of tasks even though they are still adjusted to their main tasks (7) Careful time distribution so that all tasks are carried out, (8) Upgrade technology, to minimize time and power.