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Office Performance Output Table

OASPER

January - December 2013

STRATEGIC PRIORITY

MFO / KDP Meaure Tar!et

KDP" Defene Reource Mana!ement S#tem$ Defene S#tem of Mana!ement

DND Proper HR / CD Plan

Quantity 1 HR / CD Plan developed

imeline!! completed be"ore t#e !tart o" t#e calendar year

Quality 100$ acceptability upon 3 pre!entation!

%&'P(R &P)

Quantity 1 &P) developed

imeline!! *it#in pre!cribed time"rame


CORE F%&CTIO&


MFO '" (uman Reource / Career De)elopment Inter)ention

&nnual rainin+ Calendar

Quantity 1 approved trainin+ calendar per year

imeline!! completed be"ore t#e !tart o" every calendar year

Quality ,0$ ac#ievable and *orable a! perceived by client!

.i!t o" orei+n and .ocal rainin+ Pro+ram!

Quanti ty 1 approved li!t o" "orei+n and local trainin+ pro+ram!

imeline!! completed be"ore t#e !tart o" every calendar year

Quality ,0$ re!pon!ive to DND HRD need! a! perceived by client!

rainin+ De!i+n!

Quantity 1 approved trainin+ de!i+n!

imeline!! completed *it#in 3 day! "or !imple and day! "or comple de!i+n!

Quality upon 2 pre!entation! "or !imple and pre!entation! "or comple de!i+n!

rainin+! Conducted

Quantity 33 trainin+! conducted

imeline!! accompli!#ed *it#in t#e approved trainin+ calendar

Quality ,0$ trainin+ re4uirement! ac#ieved

.ocal and orei+n ravel! &!!i!ted

Quantity 100$ o" local and "orei+n travel a!!i!ted

imeline!! *it#in 1 day "or ur+ent / priority and 3 day! "or re+ular

Quality upon 2 pre!entation! "or ur+ent / priority and 3 pre!entation! "or re+ular

MFO *" (uman Reource Mana!ement Inter)ention

Civilian Per!onnel &ction!

Quantity 100$ o" re4uired per!onnel action! undertaen

imeline!! *it#in !et deadline

Quality *it#in pre!cribed 4uality

5ilitary Per!onnel &ction!

Quantity 100$ o" document! acted upon

imeline!! *it#in 3 day! "or priority and day! "or re+ular document!

Quality*it#in 3 allo*able revi!ion! "or bot# priority and re+ular document!

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MFO +" (R Polic# / Pro!ram Dei!n Implementation$ Monitorin!$ an, E)aluation

HR 6n"ormation 'y!tem

Quantity ,0$ o" per!onnel data inputted and 100$ updated

imeline!! inputted *it#in 2 day! upon receipt o" data

Quality *it#in $ allo*able error rate

MFO -" (R Polic# Re)ie. an, Reformulation

Handboo on 5ilitary HR .a*! and Policie!

Quantity 1 #andboo dra"ted

imeline!! *it#in t#e pre!cribed timeline


7pdated 6PP5'

Quantity updated 6PP5' +uideline! approved



6nte+rity Development Policie!Quantity 3 6nte+rity Development Policie! developed



8&D Policie!

Quantity 8&D Policie! developed



9&P&8D&9& Policie!

Quantity 2 9&P&8D&9& Policie! developed



7pdated Citi:en;! C#arter

Quantity updated Citi:en;! C#arter approved



HR Plan

Quantity 1 HR Plan developed



7pdated 86P / %J 8uideline!

Quantity updated 86P / %J +uideline! approved



S%PPORT F%&CTIO&


MFO " A,min an, Support Ser)ice

Document racin+ 'y!tem De!i+n

Quantity 1 Document racin+ 'y!tem de!i+ned


Quality ,0$ re!pon!ivene!! to client!; need!

%""ice 'upplie! 5ana+ement

Quantity 100$ re4ue!ted !upplie! delivered

imeline!! *it#in 2 day! upon re4ue!t

Quality ,0$ acceptability o" !upplie! delivered

%""ice inancial 'ervice!

Quantity 100$ bud+etin+ and "inancial re4uirement! acted upon


Quality 100$ acceptability upon 2 revi!ion!

%""ice ran!port %peration!Quantity 100$ o" re4ue!ted tran!port need! !upplied

imeline!! *it#in !peci"ied time"rame upon re4ue!t

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Succe In,icator Accountable Di)iion

HRDD

HRDD


HRDD

HRDD

HRDD

HRDD

HRDD

CPD

5PD

1 HR / CD Plan completed be"ore t#e !tart o" t#ecalendar year *it# 100$ acceptability upon 3

pre!entation!

1 &P) developed *it#in pre!cribed time"rame *it# 100$acceptability upon 3 pre!entation!

1 approved trainin+ calendar per year to be completedbe"ore t#e !tart o" every C< and ,0$ ac#ievable and

*orable

1 approved li!t o" "orei+n and local trainin+ pro+ram! tobe completed be"ore t#e !tart o" every C< and ,0$

re!pon!ive to DND HRD need!

1 trainin+ de!i+n! approved upon 2 pre!entation! "or!imple and "or comple de!i+n! to be completed *it#in

3 day! "or !imple and day! "or comple de!i+n!

33 trainin+! conducted and accompli!#ed *it#in t#eapproved trainin+ calendar *it# ,0$ trainin+

re4uirement! ac#ieved

100$ o" local and "orei+n travel! a!!i!ted *it#in 1 day"or ur+ent / priority and 3 day! "or re+ular approved upon2 pre!entation! "or ur+ent / priority and 3 pre!entation!

"or re+ular

undertaen 100$ o" re4uired per!onnel action! *it#in!et deadline and pre!cribed 4uality

100$ o" document! acted upon *it#in 3 day! "or priorityand day! "or re+ular document! *it# 3 allo*ablerevi!ion! "or bot# priority and re+ular document!

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CPD

5PD

CPD

CPD

5PD

CPD

CPD

HRDD


%D

%D

%D

%D

,0$ o" per!onnel data inputted and 100$ updated*it#in 2 day! upon receipt o" data *it# $ allo*able

error rate

1 #andboo dra"ted *it#in t#e pre!cribed timeline *it#100$ acceptability upon 3 pre!entation!

updated 6PP5' +uideline! approved *it#in !et deadline*it# 100$ acceptability upon 3 pre!entation!

3 6nte+rity Development Policie! developed *it#in t#epre!cribed timeline *it# 100$ acceptability upon 3

pre!entation!

8&D Policie! developed *it#in t#e pre!cribed timeline*it# 100$ acceptability upon 3 pre!entation!

2 9&P&8D&9& Policie! developed *it#in t#e pre!cribedtimeline *it# 100$ acceptability upon 3 pre!entation!

updated Citi:en;! C#arter approved *it#in !et deadline*it# 100$ acceptability upon 3 pre!entation!

1 HR Plan completed *it#in t#e pre!cribed timeline *it#100$ acceptability upon 3 pre!entation!

updated 86P / %J +uideline! approved *it#in !etdeadline *it# 100$ acceptability upon 3 pre!entation!

1 Document racin+ 'y!tem de!i+ned *it#in !etdeadline *it# ,0$ re!pon!ivene!! to client!; need!

100$ re4ue!ted !upplie! delivered *it#in 2 day! uponre4ue!t *it# ,0$ acceptability o" !upplie! delivered

100$ bud+etin+ and "inancial re4uirement! acted upon*it#in !et deadline *it# 100$ acceptablity upon 2

revi!ion!

100$ o" re4ue!ted tran!port need! !upplied *it#in!peci"ied time"rame upon re4ue!t

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OFFICE PERFORMA&CE COMMITME&T A&D RE3IE4 0OP

Revie*ed by Date Con"irmed by

5TC A&TO&IO G P%&6A5A& MC 0GSC2 CO

(ecutive %""icer> ?.8H

&pproved by@

CO5O&E5 SA&TIAGO I E&GI&CO PA 0GSC2

C#ie" o" 'ta""> &P5C

5%/P&P '7CC('' 6ND6C&%R' A&R8(' B 5(&'7R(' &llotted )ud+et Divi!ion &cc

'R&(86C PR6%R6<

To pro)i,e tertiar# 7ealt7 care er)ice 2 patient! treated per !eme!ter ?.8

C%R( 7NC6%N'

MFO '" 8ualit# nurin! care er)ice E$ .evel o" 'ati!"action o" all patient! to*ard! nur!e! per mont# N'D

'7PP%R 7NC6%N'

MFO *" A,min an, Support Ser)ice

Per!onnel 'ati!"action Clinica

Per!onnel &ction Re4ue!t &dmin

Per!onnel &pprai!al &dmin

Per!onnel Di!cipline Clinica

'terile 'upplie! Proce!!in+ 100$ o" &ll 6!!ued 'upplie! "or 2 #our! are 'terile C'R

&ttendance and Punctuality Clinica

Detail Publication Clinica

6> C%.%N(. 5&R6& ?6C%R6& P J7&N NC A8'C> C#ie" Nur!in+ 'ervice Divi!ion> ?.8H> commit to deliver and a+ree to be rated on t#e attainment 31 December> 201F

0$ &vera+e 'core "rom t#e .evel o" 'ati!"action o" &ll Nur!in+Per!onnel at t#e end o" t#e year

0$ o" all per!onnel action re4ue!t accompli!#ed *it#in A3*orin+ day!

0$ o" &ll Per!onnel apprai!al i! accompli!#ed and !ubmitted *it# 0error! in "ormat *it#in one mont# a"ter t#e ratin+ period

0$ o" all t#e Nur!in+ Per!onnel di!ciplinary action! monitoredand recorded per mont#

100$ o" all Nur!in+ Per!onnel;! attendance and punctuality *illbe recorded and monitored per mont#

,0$ o" approved !c#edule o" &.. clinical area! di!tributed A3 day!be"ore t#e end o" t#e mont#

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MFO +" E,ucation an, Trainin! Ser)ice

Competency Report (ducatio

RN-Re!idency Pro+ram (ducatio

&""iliation (ducatio

5entorin+ Pro+ram (ducatio

&P Nur!e Corp! 'pecialty rainin+ Cour!e (ducatio

'ta"" Development Pro+ram (ducatio

Ca!e 'tudy Report (ducatio

(ducatio

MFO -" 8ualit# Aurance an, Reearc7 Support Ser)ice

Nur!in+ &udit Report

Nur!in+ Policie! and Procedure!

6n"ection Control Domain &udit

Ho!pital (vent Report

(vidence-)a!ed re!earc#

C%R( 7NC6%N 5% 1= Quality nur!in+ care !ervice!

'7PP%R 7NC6%N' 5% 2= &dmin and 'upport 'ervice!

5% 3= (ducation and rainin+ 'ervice

5% = Quality &!!urance and Re!earc

%&. &?(R&8( P%6N 'C%R(

%?(R&.. (Q76?&.(N N75(R6C&. R&6N8

%?(R&.. (Q76?&.(N &DJ(C6?&. R&6N8

0$ o" all Nur!in+ Per!onnel *ill under+o 'ill! CompetencyC#ecli!t biannually

0$ o" RN Re!ident! *ill pa!! t#e pro+ram re4uirement! priorto completion at t#e end o" t#e !eme!ter

0$ o" t#e R.( epo!ure! o" nur!in+ !tudent! areimplemented a! pro+rammed per !eme!ter

0$ o" P2.! *ill pa!! t#e Cour!e re4uirement! prior topro+ram completion a"ter t#e !i mont# period

0$ o" !tudent! *ill pa!! t#e Cour!e re4uirement! prior topro+ram completion a"ter one year period

0$ o" Nur!in+ Per!onnel !#ould attend at lea!t A3 approvednur!in+ !ervice trainin+ pro+ram! biannually

0$ o" Clinical &rea! !ati!"actorily pre!ented ca!e !tudie!biannually

Nur!in+ 'ervice (ducation and rainin+

Pro+ram

0$ o" t#e trainin+ plan! and pro+ram! are conducted and

completed annually

,0$ o" t#e Nur!in+ Clinical area! pa!!ed t#e Nur!in+ &udit att#e end o" t#e !eme!ter

&t lea!t 2 policie! revie*ed> revi!ed> and "ormulated *it# 0error! in "ormat at t#e end o" t#e !eme!ter

0$ o" Nur!in+ Per!onnel !ati!"actorily pa!!ed t#e 6n"ectionControl Domain &udit at t#e end o" t#e !eme!ter

6nte+rated Di!ea!e 'urveillance andRe!pon!e

0$ o" t#e Clinical &rea! !ubmit! t#e P6D'R "orm on timeevery *ee *it# 0 error! in "ormat

&ll !entinel event! are Collected> &naly:ed> and Reported *it#0 error! in "ormat at t#e end o" t#e !eme!ter

0$ o" Nur!e! !ati!"actorily participate in re!earc# activitie! att#e end o" t#e !eme!ter

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RO5E:RES%5TS MATRI;

'8-1

Mr Clareto R7uir 1a:a.an R& I 'ta"" Nur!e 6 ANur!e 6> '8 - 11

M Yolan,a 3a>ue? &A ANur!in+ &ttendant 6> '8-E

M An!ele 5apini! &A ANur!in+ &ttendant 6> '8-E

M Mar# Roe Re!api &A ANur!in+ &ttendant6> '8-E

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0FORM C2

8ualit# Aurance an, Reearc7 Clinical Care

(nvironment o" Care C#ecli!t 'ta"" Di!tribution

ncident Report! Patient Care 'upervi!ion

Iard &ctivitie! 5onitorin+

6n-patient Cen!u! Report(nvironment o" Care C#ecli!t ?6P report

ncident Report! 6n-patient Cen!u! Report

'ta"" Di!tribution

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MERIT / DEMERIT

CRITERIA MERIT

POI&TS @B @ @*

Atten,ance / Punctualit#

Diciplinar# Offene

Per"ormin+ dutie! o" a #i+#er po!ition

0 - 1 aut#ori:ed and in"ormed A3 #our! be"oreduty ab!ence *it# no tardine!! and no notice!loa"in+ "or t#e *#ole ratin+ period

&on : compliance toSubmiion

'ubmit! .eave &pplicatNur!in+ 7nit Report!> .6ncident Report!> ot#erin!tructed be"ore +iven

Performance of Dei!nate,

Function

a!ed in Nur!in+ 'ervDirected Pro+ram or &c

a!ed a! member o" 8roup or Committee!

Per"ormed 1 #our! 6n!tructor and E #our!

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In,i)i,ual 4or Output Table

Ma=or Final Output PERFORMA&CE TARGETS

En,orement 1oo

Quality *it# complete detail!imeline!! *it#in "ir!t #our o" t#e !#i"t

Quantity all patient!

Patient Aement Pro!re &ote

Quality No error! in 'tandard Protocol!

imeline!! completed *it#in 2 Hour!

Quantity all patient!urin! Care Plan

Completed Nur!in+ Care Plan o" all patient! *it#in 2 #our!

Quality No error


Quantity all patient!e,ication A,minitration Recor,

Completed 5edication Protocol o" all patient! *it#in !#i"t

Quality No error

imeline!! completed *it#in !#i"t


urin! Proce,ure Defficienc# Monitorin! Recor,Quality No error


Quantity all patient!ealt7 Teac7in! Recor,

Quality No error

imeline!! completed upon di!c#ar+e

Quantity all patient!urin! Pro!re &ote

Completed Nur!in+ Pro+re!! Note! o" all patient! *it#in !#i"t

Quality No error

imeline!! *it#in !#i"t

Quantity all patient!O1AR Defficienc# Recor,

Completed 6'%)&R 'tandard Protocol o" all patient! *it#in !#i"t

Quality No error


Quantity all patient!mer!enc# Cart E>uipment Recor,

Complete accountin+ o" (mer+ency Cart (4uipment *it#in !#i"t

Quality No error


Quantity all (-cart e4uipment!

Cae Stu,#/Reearc7 Paper

Quality

imeline!! %n or be"ore deadline

Quantity Complete re4uirement!

&ure Mana!er Role Deficienc# C7eclit

Quality &ll ta!! complied

imeline!! upon deadline

Quantity all dele+ated ta!!

Aiti)e &ure Mana!er Deficienc# Recor,

Quality &ll ta!! complied

imeline!! upon deadline


%""ice o" t#e Nur!in+ 'ervice

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I&DI3ID%A5 PERFORMA&CE COMMITME&T A&D RE3IE4 0IPCR2

Revie*ed by Date &pproved by

CPT KRISTI&A 5 SA53ADOR &C 5TC CAR

6mmediate 'upervi!or

%utput 'ucce!! 6ndicator Aar+et B 5ea!ure &ctual &ccompli!#ment!

Core Function

(ndor!ement )oo 100$ o" patient!> *it#in 1-E0 min!> *it# 0 mi!!ed da

100$ o" patient!> *it#in 2 #our! *it# 0 A:ero error L100$ o" patient! *it#in 2 #our! *it# error!

Nur!in+ Care Plan 100$ o" patient!> *it#in 2 #our! *it# 0 A:ero error 100$ o" patient! *it#in 2 #our! *it# 2-3 error

100$ o" patient!> *it#in 2 #our! *it# 0 A:ero error 100$ o" patient! *it#in 2 #our! *it# 0 A:ero er

100$o" patient!> *it#in !#i"t *it# 0 A:ero error 100$ o" patient!> *it#in !#i"t *it# - error!

Healt# eac#in+ Record 100$ o" patient!> upon di!c#ar+e *it# A0 :ero error 100$ o" patient! upon di!c#ar+e *it# 1 error

Nur!in+ Pro+re!! Note! 100$ o" patient!> *it#in !#i"t *it# 0 A:ero error 100$ o" patient! *it#in !#i"t *it# 2 error!

100$ o" patient!> *it#in !#i"t *it# 0 A:ero error 100$ o" patient!> *it#in !#i"t *it# error!

6> MS A%RORA M DE5A CR%6 R& II > o" t#e Infectiou 4ar,> Divi!ion o" &urin! commit to deliver and a+ree to be rated on t#e attainment o" t#e "ollo*in+ ta*@'F

100$ o" patient!> *it#in t#e "ir!t #our o" !#i"t> *it# 0 A:eromi!!ed data

Patient &!!e!!ment Pro+re!!Note!

5edication &dmini!trationRecord

Nur!in+ Procedure! De"iciency5onitorin+ Record

ISO1AR De"iciency Record

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Support Function

100$ o" (mer+ency Cart (4uipment> *it#in !#i"t *i

Ca!e 'tudy / Re!earc# Paper

100$ nur!e mana+er ta!! upon deadline *it# 0 A:ero error 100$ nur!e mana+er ta!! upon deadline *it#

100$ dele+ated ta!! upon deadline *it# uncomp

A)era!e point core

O)erall point core

Inter)enin! point core

O)erall E>ui)alent &umerical Ratin!

O)erall E>ui)alent A,=ecti)al Ratin!

Comment! and Recommendation! "or Development Purpo!e!

Di!cu!!ed *it# Date &!!e!!ed by

CPT KRISTI&A 5 SA53ADOR &C

(mployee 'upervi!or

Legend: 1 - Quality (Ql) 2 - Quantity (Qn) 3 - Timeliness (T) 4 - Average (A)

(mer+ency Cart (4uipmentRecord

100$ o" (mer+ency Cart (4uipment *it#in !#i"t *it# 0 A:eroerror

Complete re4uirement!> (cellent !ub!tance on or be"oredeadline *it# 0 A:ero mi!!ed data

Complete re4uirement!> 'u""icient !ub!tance 2 -E #our! a2 mi!!ed data

Nur!e 5ana+er RoleDe"iciency C#ecli!t

Nur!e 5ana+er &!!i!tantDe"iciency C#ecli!t

100$ dele+ated ta!! upon deadline *it# 0 A:ero uncompliedta!!

6 certi"y t#at 6 di!cu!!ed my a!!e!!ment o" t#e per"ormance *it# employee

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0FORM E2

Date

Remar! &

3

2

3

2

3

1

!ure! "or t#e period "rom 9ul# to December >

10R! correctly ob!erved and &d#ere! to &P5C 'tandardProtocol! o" 'a"e 5edication

&dmini!tration

Di!or+ani:ed> 6ncomplete> aulty

Relay o" 6n"ormation

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3

3

2

3

*+

l Ratin+ by Date

D COMME&DADOR &C

d o" %""ice

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Ma=or Final Output PERFORMA&CE TARGETSOutstan

' En,orement 1oo

Quality *it# complete detail!

imeline!! *it#in "ir!t #our o" t#e !#i"t


* Patient Aement Pro!re &ote

Quality No error! in 'tandard Protocol!



+ &urin! Care Plan

Quality No error



- Me,ication A,minitration Recor,

Quality No error imeline!! completed *it#in !#i"t


&urin! Proce,ure Defficienc# Monitorin! Recor,

Quality No error



(ealt7 Teac7in! Recor,

Quality No error imeline!! completed upon di!c#ar+e


B &urin! Pro!re &ote

Quality No error


Quantity all patient! ISO1AR Defficienc# Recor,

Quality No error



Emer!enc# Cart E>uipment Recor,

Quality No error


Quantity all (-cart e4uipment!

'@ Cae Stu,#/Reearc7 Paper Quality ecellent !ub!tance> *it# 0-1 error



'' &CP Template/Clinical Pat7.a# template

Quality 0 error in "ormat/!ub!tance

imeline!! *it#in a mont#

Quantity NCP template!


on or b

*it# 0-1

ormulate/Revi!e/revie*

nur!in+ care plantemplate! a mont#

NCP template! *it#in a mont#*it# 0 error

NCP template! *it# 0

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'* &CP Compliance C7eclit

Quality 0 error

imeline!! upon di!c#ar+e

Quantity all NCP

c#ec! NCPcompliance o" nur!e!to all patient! upon

di!c#ar+e

100$ NCP upon di!c#ar+e *it#0 error

100$ NCP upon derro

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CPT KAR5A MI&A & DE5A ROSA &C 5TC CARO

6mmediate 'upervi!or


Core Function

(ndor!ement )oo 100$ o" patient!> *it#in t#e "ir!t #our o" !#i"t> *it# 0

100$ o" patient!> *it#in 2 #our! *it# 0 A:ero error L100$ o" patient!> more t#an E #our! or *it# -

Nur!in+ Care Plan 100$ o" patient!> *it#in 2 #our! *it# 0 A:ero error L100$ o" patient!> more t#an E #our! or *it# E e

100$ o" patient!> *it#in 2 #our! *it# 0 A:ero error 100$ o" patient!> *it#in 2 #our! *it# 0 A:ero er

100$o" patient!> *it#in !#i"t *it# 0 A:ero error 100$ o" patient!> *it#in !#i"t *it# 3 error!

Healt# eac#in+ Record 100$ o" patient!> upon di!c#ar+e *it# A0 :ero error L100$ o" patient!> *it#in !#i"t> *it# error!

Nur!in+ Pro+re!! Note! 100$ o" patient!> *it#in !#i"t *it# 0 A:ero error 100$ o" patient!> *it#in !#i"t *it# 1 error

100$ o" patient!> *it#in !#i"t *it# 0 A:ero error 100$ o" patient!> *it#in !#i"t *it# 1 error

6> MS AMI M MI6%&O R& II> o" t#e Female Sur!ical 4ar,> Divi!ion o" &urin! commit to deliver and a+ree to be rated on t#e attainment o" t#e "ollo*in+ tar+e*@'F

100$ o" patient!> *it#in t#e "ir!t #our o" !#i"t> *it# 0 A:eromi!!ed data



Nur!in+ Procedure! De"iciency5onitorin+ Record

ISO1AR De"iciency Record

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Support Function

L100$ o" (mer+ency Cart e4uipment *it#in !#i"t> *

Ca!e 'tudy / Re!earc# Paper

NCP template! *it#in a mont# *it# 0 error 3 NCP template! #our! a"ter a mont# *it# 1

NCP Compliance C#ecli!t 100$ NCP upon di!c#ar+e *it# 0 error L0 $ NCP upon di!c#ar+e *it# 10 error!

A)era!e point core

O)erall point core





Di!cu!!ed *it# Date &!!e!!ed by

CPT KAR5A MI&A & DE5A ROSA &C

(mployee 'upervi!or



100$ o" (mer+ency Cart (4uipment *it#in !#i"t *it# 0 A:eroerror

Complete re4uirement!> (cellent !ub!tance and on or be"oredeadline *it# 0 - 1 mi!!ed data

Complete re4uirement!> very !u""icient !ub!tance #our!*it# 2 mi!!ed data

NCP emplate / ClinicalPat#*ay template

6 certi"y t#at 6 di!cu!!ed my a!!e!!ment o" t#e per"ormance *it# employee

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0FORM E2

Date

Remar!

6ncomplete and un"illed up NCP

t#e period "rom 9ul# to December >

'y!tematically done and Iellor+ani:ed

&d#ere! to t#e Patient 'a"ety'tandard! o" 5edication

&dmini!tration and prudentlyob!erve! t#e 10R!

8/19/2019 IPPMS

23/92

by Date

E&DADOR &C

ice

Need! to be reminded to c#ec t#e(-Cart !toc record!> lo* on

initiative

6n!u""icient and incomplete NCP!>Need! improvement on !y!tematictime allocation "or NCP "ormulation

8/19/2019 IPPMS

24/92


Nur!in+ 'ervice Divi!ion

8/19/2019 IPPMS

25/92


D


CPT FE5I; RIC(ARD I ME&DO6A &C MA9 &E5SO& A MA&O

6mmediate 'upervi!or Head o" %""ic


Core Function

(ndor!ement )oo 100$ o" patient!> *it#in minute!> or *it# no errorF

100$ o" patient! *it#in 2 #our! *it# 0 A:ero errorF L100$ o" patient!> *it#in E #our! or *it# error!

100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient! *it#in !#i"t *it# 1 errorF

100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF

Healt# eac#in+ Record 100$ o" patient! upond di!c#ar+e *it# 0 A:ero errorF 100$ o" patient!> upon di!c#ar+e *it# 0 A:ero error!

Nur!in+ Pro+re!! Note! 100$ o" patient *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient! *it#in !#i"t *it# 1 errorF

6'%)&R De"iciency Record 100$ o" patient *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient! *it#in !#i"t *it# 2 error!F

6> MS REI 9EA& C DE5A PE&A R& I> o" t#e &euro:Sur!ical 4ar,> Divi!ion o" &urin! commit to deliver and a+ree to be rated on t#e attainment o" t#e "ollo*in+ tar9ul# to December > *@'F

100$ o" patient!> *it#in t#e "ir!t #our o" !#i"t> *it# 0 A:eromi!!ed dataF



Nuri!n+ Procedure! De"iciency5onitorin+ Record

8/19/2019 IPPMS

26/92

Support Function

Nur!in+ Care Plan 100$ o" patient! *it#in 2 #our! *it# 0 A:ero errorF 100$ o" patient! *it#in 2 #our! *it# 1 errorF

100$ o" (mer+ency Cart (4uipment *it#in !#i"t *it# 1 errorF

Ca!e 'tudy / Re!earc# Paper 1 1

A)era!e point core 3F0 3F0

O)erall point core +nter)enin! point core :@

O)erall E>ui)alent &umerical Ratin! *

O)erall E>ui)alent A,=ecti)al Ratin! %nati


Di!cu!!ed *it# Date &!!e!!ed by Date

MS REI 9EA& C DE5A PE&A R& I CPT FE5I; RIC(ARD I ME&DO6A &C MA9 &

(mployee 'upervi!or



100$ o" (mer+ency Cart (4uipment *it#in !#i"t *it# 0 A:eroerrorF

Complete re4uirement!> (cellent !ub!tance> on or be"oredeadline *it# 0-1 errorF

6ncomplete re4uirement!> unacceptable !ub!tance !ubmitted moret#an 2 #our! a"ter deadline *it# E error!

I do not conforme with the rating given to me I have attached a !etter of a""ea! osu#stantia! evidences to "rove the rating otherwise

6 certi"y t#at 6 di!cu!!ed my a!!e!!ment o" t#eper"ormance *it# t#e employee

Ms Rei J

8/19/2019 IPPMS

27/92

Date

Remar!

(ducate! elo4uently

cated mea!ure! "or t#e period

Per"orm! Nur!in+ Procedure!prudently and competently

8/19/2019 IPPMS

28/92

Need! 6mprovement

y Date

O&DO &C

atter with

Pena RN

8/19/2019 IPPMS

29/92



' 3ital i!n/ IHO Monitorin! S7eet

Quality accurateimeline!! *it#in !#i"t


* &AP Critical Patient Reportin! Deficienc# Recor,

Quality accurate



+ 5abor Monitorin! S7eet

Quality accurate



- Mi,.ife Proce,ure Deficienc# Recor,

Quality No error



EI&C Proce,ure C7eclit Deficienc# Recor,

Quality No error



&AP S Deficienc# Recor,

Quality No error


Quantity all a!!i+ned area!

B Clinical Area E>uipment/Suppl# Recor,

Quality No error


Quantity all e4uipment and !upply

Mi,.ife A,minitrati)e Deficienc# Recor,Quality No error




Quality No error



'@ Reearc7 / (RDP : COPAR

Quality ecellent !ub!tance> *it# 0-1 error



8/19/2019 IPPMS

30/92


paper annua y

ea ne * - errorF

8/19/2019 IPPMS

31/92

Poor

L100$ o" patient!> *it#in t#e!#i"t or *it# or more error!F



L100$ o" patient!> *it#in !#i"t*it# or more error!


L100$ o" all a!!i+ned area!*it#in !#i"t *it# errorF

L100$ o" !upply/(4uipment*it#in !#i"t *it# or more

error!F



6ncomplete re4uirement!>unacceptable !ub!tance and/or

more t#an 2 #our! a"ter

8/19/2019 IPPMS

32/92

ea ne an or * more anE error!

8/19/2019 IPPMS

33/92


D


CPT A&&A1E55E G DE5A TORRES &C MA9 SERAFFI& 5 SOR



Core Function

100$ o" patient!> *it#in t#e !#i"t> *it# :ero A0 error 100$ o" patient!> *it#in t#e !#i"t> *it# :ero A0 error


.abor 5onitorin+ '#eet 100$ o" patient!> *it#in t#e !#i"t> *it# :ero A0 error 100$ o" patient!> *it#in t#e !#i"t> *it# :ero A0 error



N&P ' De"iciency Record 100$ o" all a!!i+ned area! *it#in !#i"t *it# 0 A:ero errorF 100$ o" all a!!i+ned area! *it#in !#i"t *it# 0 A:ero errorF

Healt# eac#in+ Record 100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF

6> MS MARICE5 F MORA5ES RM II> o" t#e Obtetric an, G#necolo!# 4ar,> Divi!ion o" &urin! commit to deliver and a+ree to be rated on t#e attainment o" t#e "or t#e period 9ul# to December > *@'F

?ital 'i+n! / 6G% 5onitorin+'#eet

N&P Critical Patient Reportin+

De"iciency Record

5id*i"e Procedure! De"iciencyRecord

(6NC Procedure C#ecli!tDe"iciency Record

8/19/2019 IPPMS

34/92

Support Function

100$ o" e4uipment/ !upply *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF


Re!earc# / HRDP - C%P&R

A)era!e point core

O)erall point core






MS MARICE5 F MORA5ES RM II CPT A&&A1E55E G DE5A TORRES &C

(mployee 'upervi!or


Clinical &rea (4uipment /'upply Record

5id*i"e &dmini!trativeDe"iciency Record


Complete re4uirement!> (cellent !ub!tance> on or be"ore deadl*it# 0-1 errorF


8/19/2019 IPPMS

35/92

Date

Remar!

Iell appreciated by co-!ta""

Iell or+ani:ed

Compre#en!ive

'y!tematically per"ormed

Iell appreciated by co-!ta""

&rea *ell maintained

*it# t#e indicated mea!ure!

Compre#en!ive and clearlyunder!tood by patient!

8/19/2019 IPPMS

36/92

Iell maintained

Relevant conducted re!earc#

y Date

IA&O &C

e

Record!> Ca!e!> and )irt#Certi"icate ilin+ *ell

maintained and or+ani:ed

8/19/2019 IPPMS

37/92







Quality accurate



+ &eonatal Aement Deficienc# Recor,

Quality accurate




Quality No error




Quality No error




Quality No error




Quality No error



Mi,.ife A,minitrati)e Deficienc# Recor,

Quality No error




Quality No error



'@ Reearc7 / (RDP : COPARQuality ecellent !ub!tance> *it# 0-1 error



(cellent !ub!tance> on or be"ore

Com!ub!

8/19/2019 IPPMS

38/92


paper annua y

ea ne * - errorF

8/19/2019 IPPMS

39/92

Poor



L100$ o" patient!> *it#in t#e

!#i"t or *it# or more error!F





error!F





8/19/2019 IPPMS

40/92

8/19/2019 IPPMS

41/92


D


CPT CER%55O P MA&5APAT &C MA9 T(OMAS O DE CA



Core Function

100$ o" patient!> *it#in t#e !#i"t> *it# :ero A0 error 100$ o" patient!> *it#in t#e !#i"t> *it# 3 error!

100$ o" patient!> *it#in t#e !#i"t> *it# :ero A0 error 100$ o" patient!> *it#in t#e !#i"t> or *it# 1 errorF

100$ o" patient!> *it#in t#e !#i"t> *it# :ero A0 error L100$ o" patient!> *it#in t#e !#i"t or *it# error!F


100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient! *it#in !#i"t *it# E error!F

6> MS DORI&A T SA&C(E6 RM II > o" t#e &eonatal Inteni)e Care %nit> Divi!ion o" &urin! commit to deliver and a+ree to be rated on t#e attainment o" t#e "ollo*iperiod 9ul# to December > *@'F

?ital !i+n!/ 6G% 5onitorin+'#eet


De"iciency Record

Neonatal &!!e!!mentDe"iciency Record



8/19/2019 IPPMS

42/92

Healt# eac#in+ Record 100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF

8/19/2019 IPPMS

43/92

Support Function

N&P ' De"iciency Record 100$ o" all a!!i+ned area! *it#in !#i"t *it# 0 A:ero errorF 100$ o" all a!!i+ned area! *it#in !#i"t *it# 2 error!F

100$ o" !upply/(4uipment *it#in !#i"t *it# 0 A:ero errorF L100$ o" !upply/(4uipment *it#in !#i"t *it# 10 error!F

100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient! *it#in !#i"t *it# 2 error!F


A)era!e point core

O)erall point core






MS DORI&A T SA&C(E6 RM II RM II CPT CER%55O P MA&5APAT &C

(mployee 'upervi!or


Clinical &rea(4uipment/'upply Record



Complete re4uirement!> (cellent !ub!tance> on or be"ore deadli*it# 0-1 errorF


8/19/2019 IPPMS

44/92

Date

Remar!

e indicated mea!ure! "or t#e

Per"orm! inte+rated maternaland c#ild care competently

Ia! not able to accompli!#mo!t o" t#e (6NC C#ecli!t

"orm

8/19/2019 IPPMS

45/92

Healt# (ducation rendered topatient! on )rea!t eedin+>

Cord Care> Ne*born )at#in+and 6mmuni:ation "ollo* up!

*ere conductedcompre#en!ively

8/19/2019 IPPMS

46/92

y Date

STRO &C

e

ailed to report un!erviceable*ard e4uipment!> incompleterecordin+> !toc card! *ere

not updated

8/19/2019 IPPMS

47/92




Quality accurate




Quality accurate



+ Pe,iatric Aement Deficienc# Recor,

Quality accurate




Quality No error



Pe,iatric Gro.t7 an, De)elopment Pro!ram Report

Quality Relevant


Quantity all pro+ram report!


Quality No error




Quality No error



Mi,.ife A,minitrati)e Deficienc# Recor,

Quality No error




Quality No error



'@ Reearc7 / (RDP : COPAR

Quality ecellent !ub!tance> *it# 0-1 error



8/19/2019 IPPMS

48/92


paper annua y

ea ne * - errorF

8/19/2019 IPPMS

49/92

Poor





L100$ o" conducted irrelevant>in!u""icient !ub!tancePediatric

8ro*t# and DevelopmentPro+ram! reported and/or moret#an 2 #our! a"ter deadline



error!F


L100$ o" patient!> *it#in !#i"t

*it# or more error!



8/19/2019 IPPMS

50/92

ea ne an or * more anE error!

8/19/2019 IPPMS

51/92


D


CPT 3ICTORIA 1 DE ROCAS &C 5TC DE&&IS R FER



Core Function

100$ o" patient!> *it#in t#e !#i"t> *it# :ero A0 error 100$ o" patient!> *it#in t#e !#i"t or *it# 2-3 error!F

100$ o" patient!> *it#in t#e !#i"t> *it# :ero A0 error L100$ o" patient!> *it#in t#e !#i"t or *it# - error!F

100$ o" patient!> *it#in t#e !#i"t> *it# :ero A0 error 100$ o" patient!> *it#in t#e !#i"t or *it# 2-3 error!F

100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient! *it#in !#i"t *it# 2 error!F

Healt# eac#in+ Record 100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient! *it#in !#i"t *it# 1 errorF

6> MS CRESE&CIA F ME&DO6A RM II> o" t#e Pe,iatric 4ar,> Divi!ion o" &urin! commit to deliver and a+ree to be rated on t#e attainment o" t#e "ollo*in+ tar+et!to December > *@'F

?ital 'i+n! / 6G% 5onitorin+'#eet


De"iciency Record

Pediatric &!!e!!mentDe"iciency Record


Pediatric 8ro*t# andDevelopment Pro+ram Report!

100$ o" conducted relevant 6nte+rated Pediatric 8ro*t# andDevelopment Pro+ram! reported on or be"ore deadline

100$ o" conducted relevant 6nte+rated Pediatric 8ro*t# andDevelopment Pro+ram! reported on or be"ore deadline

8/19/2019 IPPMS

52/92

Support Function

N&P ' De"iciency Record 100$ o" all a!!i+ned area! *it#in !#i"t *it# 0 A:ero errorF L100$ o" all a!!i+ned area! *it#in !#i"t *it# E error!F

100$ o" !upply/(4uipment *it#in !#i"t *it# 0 A:ero errorF L100$ o" !upply/(4uipment *it#in !#i"t *it# error!F

100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF L100$ o" patient!> a"ter t#e !#i"t *it# error!


A)era!e point core

O)erall point core






MS CRESE&CIA F ME&DO6A RM II CPT 3ICTORIA 1 DE ROCAS &C

(mployee 'upervi!or


Clinical &rea (4uipment /'upply Record



Complete re4uirement!> (cellent !ub!tance> on or be"ore deadli*it# 0-1 errorF


8/19/2019 IPPMS

53/92

Date

Remar!

d mea!ure! "or t#e period 9ul#

Proactive involvement on C#ild.i"e Pro+ram and 9yt#e

oundation activitie! a! *ella! on t#e conduct o" 'c#ool

Readine!! Pro+ram

8/19/2019 IPPMS

54/92

?ery relevant

y Date

RER &C

e

Hou!eeepin+ complied butneed! to clear clinical area

be"ore endor!ement

Clinical &rea di!or+ani:ed and!upplie! not properly labeled

and placed on proper

container

Need! improvement onreportin+ and recordin+ o"

c#ild#ood illne!!e! andpediatric *ard prevalent ca!e!

8/19/2019 IPPMS

55/92


Ma=or Final Output PERFORMA&CE TARGETSO


Quality accurate



* &AP Deficienc# in Reportin! Critical Patient Data Recor,

report accurate patient data

Quality accurate


Quantity all patient!+ Mi,.ife Proce,ure Deficienc# Recor,

Quality No error



- 5abor Monitorin! S7eet

Quality accurate




Quality No error




Quality No error




Quality No error




Quality No error




8/19/2019 IPPMS

56/92

Unsatisfactory Poor

L100$ o" patient!> *it#in t#e !#i"tor *it# - error!F




L100$ o" patient! *it#in !#i"t *it#- error!






L100$ o" all a!!i+ned area!*it#in !#i"t *it# 3 errorF


L100$ o" !upply/(4uipment *it#in!#i"t *it# 3 error!F

L100$ o" !upply/(4uipment

*it#in !#i"t *it# or moreerror!F



8/19/2019 IPPMS

57/92


D


CPT GRACE MARIE & SA&TOS &C 5TC 9AMES PA%5 C DE5



Core Function

100$ o" patient!> *it#in t#e !#i"t> *it# :ero A0 error 100$ o" patient!> *it#in t#e !#i"t or *it# 2 error!F


100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient! *it#in !#i"t> *it# 3 error!F

.abor 5onitorin+ '#eet 100$ o" patient!> *it#in t#e !#i"t> *it# :ero A0 error 100$ o" patient!> *it#in t#e !#i"t or *it# 2 error!F

100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient!> *it#in t#e !#i"t> or *it# 1 errorF

Healt# eac#in+ Record 100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient!> *it#in t#e !#i"t> or *it# 1 errorF

6> MS 5ORE&A P CR%6 RM I> o" t#e Obtetric an, G#necolo!# 4ar,> Divi!ion o" &urin! commit to deliver and a+ree to be rated on t#e attainment o" t#e "ollo*period 9ul# to December > *@'F


N&P De"iciency in Reportin+Critical Patient Data Record



8/19/2019 IPPMS

58/92

Support Function

N&P ' De"iciency Record 100$ o" all a!!i+ned area! *it#in !#i"t *it# 0 A:ero errorF 100$ o" all a!!i+ned area! *it#in !#i"t *it# 2 errorF

100$ o" !upply/(4uipment *it#in !#i"t *it# 0 A:ero errorF 100$ o" !upply/(4uipment *it#in !#i"t *it# 2 error!F

A)era!e point core

O)erall point core






MS 5ORE&A P CR%6 RM I CPT GRACE MARIE & SA&TOS &C

(mployee 'upervi!or




8/19/2019 IPPMS

59/92

Date

Remar!

e indicated mea!ure! "or t#e

8/19/2019 IPPMS

60/92

y Date

ROSARIO &C

e

8/19/2019 IPPMS

61/92







Quality accurate



+ &eonatal Aement Deficienc# Recor,

Quality accurate




Quality No error




Quality No error




Quality No error




Quality No error




Quality No error




8/19/2019 IPPMS

62/92

Poor



L100$ o" patient!> *it#in t#e

!#i"t or *it# or more error!F





error!F


8/19/2019 IPPMS

63/92



CPT C(RISTIA& RAEGA& 5 IG&ACIO &C 5TC MARIA A%RORA O



Core Function






Healt# eac#in+ Record 100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient! *it#in !#i"t> *it# 3 error!F

6> MS CRISTI&A C 3A5E&CIA&O RM I> o" t#e &eonatal Inteni)e Care %nit> Divi!ion o" &urin! commit to deliver and a+ree to be rated on t#e attainment o" t#e "operiod 9ul# to December > *@'F


N&P Critical Patient Reportin+De"iciency Record

Neonatal &!!e!!mentDe"iciency Record



8/19/2019 IPPMS

64/92

Support Function


100$ o" !upply/(4uipment *it#in !#i"t *it# 0 A:ero errorF 100$ o" !upply/(4uipment *it#in !#i"t *it# 2 error!F

A)era!e point core

O)erall point core






MS CRISTI&A C 3A5E&CIA&O RM I CPT C(RISTIA& RAEGA& 5 IG&ACIO &C

(mployee 'upervi!or



6 certi"y t#at 6 di!cu!!ed my a!!e!!ment o" t#e per"ormance*it# t#e employee

8/19/2019 IPPMS

65/92

Date

Remar!

t#e indicated mea!ure! "or t#e

8/19/2019 IPPMS

66/92

+ by Date

O TORRES &C

"ice

8/19/2019 IPPMS

67/92




Quality accurate




Quality accurate



+ Pe,iatric Aement Deficienc# Recor,

Quality accurate




Quality No error




Quality No error



Clinical Area E>uipment/Suppl# Recor,

Quality No error



B Mi,.ife A,minitrati)e Deficienc# Recor,

Quality No error




Quality No error




8/19/2019 IPPMS

68/92

Poor







error!F



8/19/2019 IPPMS

69/92


D


CPT CAR5ITO D RE&A&TE &C MA9 TROY KE55Y F D%M



Core Function




100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient!> *it#in t#e !#i"t> or *it# 1 errorF

Healt# eac#in+ Record 100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF L100$ o" patient!> *it#in !#i"t *it# 10 error!

6> MS MARIA CO&SO5ACIO& D RODRIG%E6 RM I> o" t#e Pe,iatric 4ar,> Divi!ion o" &urin! commit to deliver and a+ree to be rated on t#e attainment o" t#e "ollt#e period 9ul# to December > *@'F


N&P Critical Patient Reportin+De"iciency Record

Pediatric &!!e!!mentDe"iciency Record


8/19/2019 IPPMS

70/92

Support Function


100$ o" !upply/e4uipment *it#in !#i"t *it# 0 A:ero errorF 100$ o" !upply/e4uipment *it#in !#i"t *it# 1 errorF

100$ o" patient! *it#in !#i"t *it# 0 A:ero errorF 100$ o" patient! *it#in !#i"t *it# 1 errorF

A)era!e point coreO)erall point core






MS MARIA CO&SO5ACIO& D RODRIG%E6 RM I CPT CAR5ITO D RE&A&TE &C

(mployee 'upervi!or





8/19/2019 IPPMS

71/92

Date

Remar!

# t#e indicated mea!ure! "or

8/19/2019 IPPMS

72/92

y Date

AMPI5IS &Ce

8/19/2019 IPPMS

73/92




Quality accurate




Quality accurate


Quantity all patient!+ Dele!ate, &urin! Proce,ure Deficienc# Recor,

Quality No error



- &AP S Deficienc# Recor,

Quality No error



&urin! E>uipment/Suppl# Recor,

Quality No error



Dele!ate, &urin! A,minitrati)e Deficienc# Recor,

Quality No error



B &APIC Mana!ement Deficienc# Recor,

Quality No error




8/19/2019 IPPMS

74/92

Unsatisfactory Poor









L100$ o" !upply/(4uipment *it#in!#i"t *it# 3 error!F


error!F

L100$ o" dele+ated ta!! *it#in!#i"t *it# - error!

L100$ o" dele+ated ta!!>*it#in !#i"t *it# or more error!

L100$ o" dele+ated ta!! *it#in!#i"t *it# - error!

L100$ o" dele+ated ta!! >*it#in !#i"t *it# or more error!

8/19/2019 IPPMS

75/92

8/19/2019 IPPMS

76/92

Support Function


100$ o" !upply/(4uipment *it#in !#i"t *it# 0 A:ero errorF 100$ o" !upply/(4uipment *it#in !#i"t *it# 0 A:ero errorF

100$ o" dele+ated ta!! *it#in !#i"t *it# 0 A:ero errorF 100$ o" dele+ated ta!! *it#in !#i"t *it# 0 A:ero errorF

A)era!e point core

O)erall point core






MS MARITESS 3 DE5A CR%6 &A II CPT RIC(ARD F DE5A PE&A &C

(mployee 'upervi!or


Nur!in+ (4uipment/'upplyRecord

N&P6C 5ana+ementDe"iciency Record


8/19/2019 IPPMS

77/92

Date

Remar!

Iell appreciated by co-!ta"

Iell appreciated by co-!ta"

ated mea!ure! "or t#e period

&ccurately and competentlydone

&dmini!trative reportin+ *ellor+ani:ed and complete

8/19/2019 IPPMS

78/92

Iell or+ani:ed

y Date

TOS &C

e

Clinical &rea *ell maintainedand neat

Iell maintained and 'tocCard! are updated

8/19/2019 IPPMS

79/92




Quality accurate




Quality accurate


Quantity all patient!+ Dele!ate, &urin! Proce,ure Deficienc# Recor,

Quality No error



- &AP S Deficienc# Recor,

Quality No error



&urin! E>uipment/Suppl# Recor,

Quality No error



Dele!ate, &urin! A,minitrati)e Deficienc# Recor,

Quality No error




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Unsatisfactory Poor









L100$ o" !upply/(4uipment *it#in

!#i"t *it# 3 error!F


error!F



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D


CPT GERARD T DE MESA &C 5TC RICARDO F SA&



Core Function





6> MS MARICRIS A DE5A R%I6 &A I> o" t#e Dermatolo!# an, 1urn 4ar,> Divi!ion o" &urin! commit to deliver and a+ree to be rated on t#e attainment o" t#e "olloperiod 9ul# to December > *@'F


N&P De"iciency in Reportin+Critical Patient Data Record

Dele+ated Nur!in+ ProcedureDe"iciency Record

Dele+ated Nur!in+&dmini!trative De"iciencyRecord

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Support Function


100$ o" !upply/(4uipment *it#in !#i"t *it# 0 A:ero errorF 100$ o" !upply/(4uipment *it#in !#i"t *it# 0 A:ero errorF

A)era!e point core

O)erall point core

Inter)enin! point coreO)erall E>ui)alent &umerical Ratin!




MS MARICRIS A DE5A R%I6 &A I CPT GERARD T DE MESA &C

(mployee 'upervi!or


Nur!in+ (4uipment/'upplyRecord


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Date

Remar!

Iell %r+ani:ed

'y!tematic

Iell &ppreciated by co-!ta""

Iell &ppreciated by co-!ta""

t#e indicated mea!ure! "or t#e

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Iell 5aintained

Iell 5aintained

y Date

TOS &C

e

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Dail# In,i)i,ual 4or Output 9ournal

A%""ice

Sub=ect OutputTime

Re)iion &o 8ualit#Ai!ne, Accompli7e,

Preared !y"

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4eel# Conoli,ate, In,i)i,ual 4or Output Table

A%""ice

Date Output &o of Re)iion 8ualit# 8uantit#

Super)ior Comment"

Prepared by= Revie*ed / Noted

Date= Date=

AName

APo!ition/'8

ADivi!ion

Di)

Output ID&o

MaJimum TimeComplete,

Employee's ame and !ignature !upervisor

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Performance Monitorin! an, Coac7in! 9ournal

Name o" Divi!ion

Divi!ion C#ie"

Number o" Per!onnel in t#e Divi!ion

Acti)it#

Mec7anim5eetin+

5emo %t#er! APl!F 'peci"y%ne-on-%ne 8roup

Monitorin!

Coac7in!

Please indicate the date in the appropriate box when the monitoring was conducted.

Conducted by: Date: Noted by:

Imme,iate Superior (ea, of Office

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0FORM (2

Remar

Date:

Q u a

r t er

1st

2nd

3rd

4th

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Sample Summar# 5it of In,i)i,ual Performan

Office A Performance Aement" 3er# S

Di)iion ARati

&umerical

"ivision A #ating (mployee 1

(mployee 2

(mployee 3

(mployee

(mployee

Di)iion 1Rati

&umerical

"ivision $ #ating (mployee 1

(mployee 2

(mployee 3

(mployee

Di)iion CRati

&umerical

"ivision % #ating (mployee 1

(mployee 2

(mployee 3

(mployee

'ummary=Divi!ion & ?ery 'ati!"actory

Divi!ion ) 3 'ati!"actory

Divi!ion C %ut!tandin+

&vera+e 12/3M 3er# Satifactor#

NoF o" (mployee! M &vera+eratin+! o" !ta""



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0Form I2

e Ratin!

atifactor#

n!

A,=ecti)al

n!

A,=ecti)al

n!

A,=ecti)al

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Performance Re.ar,in! an, De)elopment

Profeional De)elopment Plan

Date=

ar+et DateRevie* Date

&c#ieved Date

&im

%bective

a! Net 'tep

Comment!

"is&ussed it: "ate: repared *y: "ate:

Emplo#ee Super)ior

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0Form 92

Approved *y: "ate:

(ea, of Office

ippms

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