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Background: Integrated Cardiac Care (PJT) at Hospital in Klaten has a new strategy in its management. PJT is a new service that is classified as a single reference specifically for cardiovascular cases in the Klaten region. Therefore the PJT of the Hospital in Klaten must survive among the demands of high patient needs and facilities as well as the quality of services available at the PJT. Research Method: This research is a type of qualitative research with case study. The subjects of this study are internal hospital data, president director, medical service director, and PJT heads. The data is taken by means of document analysis and interview. Results: Based on the SWOT chart the position of PJT Hospital in Klaten is in quadrant I. The strategy applied in this condition can support aggressive growth strategy. Based on TOWS Matrix, the main strategy is applied based on strength and opportunity. KPI is based on analysis of PJT strengths, weaknesses, opportunities and threats in strategic maps. Conclusion: PJT of the Hospital in Klaten has several strengths and opportunities that can be utilized to support aggressive growth. PJT Strategic Plan is prepared with a target of 5 years.