Background: Access to hospitals and continuity of services is very important for the continuity of the hospital so that people who need health services are interested in visiting hospitals and utilizing the health services owned by hospitals. This research is to find out the implementation of access to the hospital and continuity of service at X Hospital which will carry out accreditation after 4 years of operation. Method: This type of research is qualitative research. Data was collected using observation and interview methods. The population of all patients who came to the emergency room and outpatient. Data analysis using coding interviews Results and discussion: Observations on the implementation of standard operational procedure for hospital access and continuity of services have been carried out in excess of 80%, but there are obstacles in the implementation, one of which is not all clinical staff know the steps in standard operational procedure steps. Conclusion: Clinical staff has implemented standard operational procedure standard steps hospital access and service continuity exceeds 80%.