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Staff Performance CompetencyPlease assess Strong Commitment Competence against the performance factors as follows:
Exceeds (E)- consistently performs in an exceptional manner that far exceeds performance standards.
Meets (M)- consistently performs in a manner that fully meets expected performance standards.
Needs Improvement (NI)- performs in a manner that needs improvementidentified area of growth.
Self Evaluator Integrity I will conduct myself in a fair and trustworthy manner. (Type E ! or "#$
%emonstrates meeting customer needs &y providing the highest 'uality service with utmost careand courtesy recogni)es his*her wor+ as a reflection of him*herself.
Ensures patients, right to privacy &y creating a secure and trusting environment. Treats all patientinformation confidentially.
ses good udgment in all situations ensuring ethical standards are met.
Comments:
ompassion ! I will act with empathy and understanding toward others.
Commits to understanding patient and family mem&ers, uni'ue individual needs.
ses good udgment in all situations ensuring ethical standards are met.
/esponds to patients in a timely manner &y giving status reports uses care and courtesy whenresponding.
Comments:
"ccounta#ility ! I have an o#ligation to ta$e responsi#ility for my actions and to %oin with my colleagues inreali&ing the hospital's vision.
0ollows through on all assigned duties*responsi&ilities to ensure they are completed correctly andin a timely manner.
Solves pro&lems rather than &laming others or offering excuses.
1alues and supports co-wor+ers and actively participates in team,s success.
Comments:
espect ! I will treat patients families and colleagues with dignity and sensitivity valuing their differences.
#ntroduces self greeting others warmly offering assistance.
Strives to &etter understand the diverse cultures and customs of patients and their families.
ses words and tones appropriate to a health care setting.
Comments:
Excellence ! I will rise a#ove the ordinary through my personal efforts and those of my team.
Treats co-wor+ers with courtesy consideration respect and trust. /ecogni)es that he*she is part
of a team.
Engages in continuous learning to promote personal and professional growth.
2or+s to create team success as well as individual success.
3elps to maintain our facility &y +eeping it clean and uncluttered.
Comments:
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Employee Signature Evaluator Signature
__________________________________________ _____________________________________Employee ID # Date
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#n +eeping with the !ission 1ision and 1alues of Strong !emorial 3ospital all employeesare responsi&le for the delivery of care and services that reflect the Strong Commitment andare consistent with the following values and expected &ehaviors.
"*ES+N", +MMI-MEN- -+ + /",ES
Integrity ! # will conduct myself in a fair responsi&le and trustworthymanner.
ompassion ! # will act with empathy and understanding towards others."ccounta#ility ! # have an o&ligation to ta+e responsi&ility for my actions
and to oin with my colleagues in reaching the hospital4s vision.
espect ! # will treat patients families and colleagues with dignity andsensitivity valuing their differences.
Excellence ! # will rise a&ove the ordinary through my personal efforts andthose of my team.
0E1"/I+S -1"- S**+- + +MMI-MEN-
5. 2ear neat proper dress including a visi&le #% &adge.
6. 7reet others warmly offer assistance and escort them to their destinationif needed.
8. #ntroduce yourself and explain your role.
9. se words and tones appropriate to the healthcare setting.
. /espect every person4s privacy (+noc+ &efore entering a room pullprivacy curtains where possi&le$.
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Print Name Employee ID #