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As being represented by Dr. Iskak hospital, PSC has delivered Tulungagung Regency to received award in a world level government innovation competition. This district is considered successful in implementing emergency management that is able to reduce the mortality rate quite significantly. This paper outlines a framework for assessing the process of the innovation in regard of development sustainable city. This innovation start with modern emergency installation in Dr. Iskak Hospital called Instalasi Gawat Darurat Modern (Instagram) and Tulungagung Emergency Medical Service (TEMS) and finally integrated with several public institution whom incorporated in the system called Public Safety Center ( PSC ) which has been adopted by Indonesia Ministry Of Health and become the National Center Commander 119. This research uses qualitative method with descriptive approach. By an explanation from Stevels (1997), innovation management is described in three stages to monitor the PSC progress, including : Redesign - creating a new design based upon the current product by minimizing its technical problem, Product Alternative - formulating new concept or service to fulfil increasing and complex functional needs, System - designing systems for forward-looking and complex society demand. It indicates that the PSC has been proceeding to become a sustainable innovation because of its improvements process.