Abstract : Quality and cost control policies for the National Health Insurance (JKN) program are currently developed in various measurement indicators. The development of service quality while still paying attention to aspects of hospital efficiency also continues to get wider space. In addition, for Social Insurance Administration Organization (BPJS) or the is very important for the use of Big Data in the development of the JKN Evidence Based Policy program. The aim of this study is determine the structural model of the quality of BPJS advanced referral health facilities based on the Malcolm Baldrige criteria. A cross sectional study using secondary data from BPJS Health Facilities Quality Index 2017 which specifically measures based on Malcolm Baldrige's criteria. Model development was analyzed using the SmartPLS application to produce a quality model design for advanced referral health facilities (FKRTL). The results of the analysis showed that the Service Quality model based on Malcolm Baldrige's criteria describes the entire dependent variable as a good model with an R2 value of 0.782. From the results of the analysis it was also found that the dependent variable which had a large influence was the measurement analysis and knowledge management variable and Process variable.