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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

8/12/2019 Strong Commitment Staff Performance Competency

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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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