Employee Performance Appraisal in Hospital: Who, What, How and When?

Rakesh Kumar ., Prof. (Dr.) Bimal Anjum ., Dr. Ashish Sinha .

Abstract


Health care professional are becoming more involved in performance management as hospital restructure to increase effectiveness. Although they are hospital employees, they are subject to performance appraisals because the hospitals are accountable to patients and the community for the quality of hospital services. The purpose for having a performance appraisal program in hospital is to monitor employees’ performance, motivate staff and improve hospital morale. The performance of a health care professional may be appraised by the appropriate departmental manager, by other professionals in a team or program or by peers, based on prior agreement on expectations. Appraisal approaches vary. They include behavioural approaches such as rating scales, peer rating, ranking or nomination and outcome approaches such as management by objectives and goal setting. Professionals should give and receive timely feedback on a flexible schedule. Feedback can be provided one-on-one, by a group assessing quality of care or through an anonymous survey. The British Association of Medical Managers (BAMM, 1999) has defined appraisal as "the process of periodically reviewing one's performance against the various elements of one's job". This paper will describe the purpose & developmental criteria of an appraisal program that will regularly assess the performance of hospital employee.

Keywords


Healthcare, Performance Appraisal, Employee, Hospital

Full Text:

PDF

References


Acute Care Hospitals (1991), Canadian Council on Health Facilities Accreditation, Ottawa, p.-465.

Amaratunga, D. & D. Baldry (2002), “Performance measurement in facilities management and its relationship with management theory and motivation”, Facilities, Vol. 20, N.10, pp. 327-336.

Armstrong, M. & Baron, A. (1998), “Out of the tick box”, People Management, Vol 15, N.4, pp. 38-41.

Berwick, DM (1989), “Continuous improvement as an ideal in health care”, N Engl J Med, 320:53-6.

Berwick, DM (1991), “Controlling variation in health care: a consultation from Walter Shewhart”,Med Care, pp – 1212-1225.

Briscoe, D. & Schuler, R. (2004), “International Human Resource Management” 2nd Ed., Routledge.

British Association of Medical Managers (1999), “Appraisal in Action”, Stockport: BAMM.

Chandra, A. & Frank, ZD (2004), “Utilization of performance appraisal systems in health care organizations and improvement strategies for supervisors”, Health Care Manag (Fredrick), Jan –Mar 23(1):25-30.

Carey, KG & Seibert, JR (1993), “A patient survey system to measure quality improvement: questionnaire reliability and validity”, Med Care, 31:834-45.

Department of Health (1999), “Supporting Doctors, Protecting Patients”, London: Department of Health.

DeVries, D.L., Morrison, A.M., Shullman, S.L., & Gerlach, M.L. (1981), “Performance Appraisal On The Line”, Center for Creative Leadership, Vol.23, N.-4, p.50.

Dowling et al (1999), “International Human Resource Management – Managing People in a Multinational Context”, 3rd Ed., International Thomson Publishing.

Fisher, C.M. (1994), “The differences in appraisal schemes: variation and acceptability”, Personnel Review, Vol. 23, N. 8, p.-33.

Franco, L. M., S. Bennett & R. Kanfer (2002), “Health sector reform and public sector health worker motivation: a conceptual framework”, Social Sciences & Medicine, Vol. 54, pp. 1255-1266.

General Medical Council (2001), “Good medical practice: duties of a doctor”. (www.gmc-uk.org/guidance/good_medical_practice/index.asp).

Gombeski, WR, Day, JR & Fay, GW et al (1992), “Physician peer review surveys: Management tool for improving quality of patient care”, J Health Care (Mark), 12 (2): 52-59.

Griffith, J. R. (2000), “Championship Management for Healthcare Organizations”, Journal of Healthcare Management, Vol. 45, N. 1, January/February, pp. 17-31.

Grogan, S., Conner, M., Willits, D., & Norman, P. (1995), “Development of a questionnaire to measure patients' satisfaction with general practitioners' services”, Br J Gen Pract, 45:525-9.

Health Services Research Group (1992), “Standards, guidelines and clinical policies”, Can Med Assoc J, 146: 833-837.

Health Services Research Group (1992), “Quality of care: Quality of care studies and their

Consequences”, Can MedAssoc J, 147: 163-167.

Hearnshaw, H., Baker, R., Cooper, A., Eccles, M. & Soper, S (1996), “The costs and benefits of asking patients for their opinions about general practice”, Fam Pract, 13:52-8.

Hogg, C. (1988), “Performance appraisal (Fact Sheet 3)”, London: Personnel Publications.

Jackson, P., Gale, C., Bishop, I., et al (2001), “Appraisal –three case studies”, Clinician in Management, 10, 38–44.

Kane, J.S., Lawler, E.E. III(1978), “Methods of peer assessment”, Psychol Bull, 85: 555-586.

Kilshaw, M.F. (1992), “Implementing an effective quality assurance program”, In Gellman D (ed):The CMA Guide to Medical Administration in Canadian Hospitals, CMA, Ottawa, pp 1-15.

Latham, G.P. & Wexley, K.N. (1994), “Increasing productivity through performance appraisal”, 2nd ed., Addison –Wesley, New York.

Latham, G. (1990), “The role of goal setting in human resource management”, In Ferris GR,

Rowland KM (eds): Performance Evaluation, Goal Setting and Feedback, Jai Pr, Greenwich, Conn,185-216.

Leatt, P. & Fried, B. (1988), “Technology and human resources management”, In Fottler MD, Hernandez SR, Joiner CL (eds): Strategic Management of Human Resources in Health Services Organizations, Delmar, Albany, NY, 85-111.

Lemieux-Charles, L. (1989), “Hospital-Physician Integration: the Influence of Individual and

Organization Variables on Integration (doctoral thesis)”, University of Toronto, Toronto.

Lewis, J.R. & Williamson, V. (1995), “Examining patient perceptions of quality care in general practice: comparison of quantitative and qualitative methods”, Br J Gen Pract, 45:249-53.

Martinez, J. and Martineau, T. (1998), “Rethinking human resource: An agenda for the millennium”, Health Policy and Planning, Vol. 13, N. 4, pp. 345-358.

McAuley RG, Paul WM, Morrison GH et al (1990), “Five-year results of the peer assessment

program of the College of Physicians and Surgeons of Ontario”, Can Med Assoc J, 143: 1193-1199.

Mohrman, A.M., Jr. Resnick-West, S.M., & Lawler, E.E. III(1989), “Designing Performance Appraisal Systems: Aligning Appraisals and Organizational Realities”, Jossey-Bass, San Francisco.

Norton, P.G., Dunn, E.V., Beckett, R. & Faulkner, D. (1998), “Long term follow-up in the Peer Assessment Program for non-specialist physicians in Ontario, Canada”, Jt Comm J Qual Improv, 24:334-41.

Ontario Public Hospitals (1992), “Into the 21st Century- Report of the Steering Committee, Public Hospitals Act Review”, Ontario Ministry of Health, Toronto, p.128.

Ontario Public Hospitals (1992), “Into the 21st Century- Report of the Steering Committee, Public Hospitals Act Review”, Ontario Ministry of Health, Toronto, pp.-130-135.

Ramsey, P.G., Carline, J.D., Blank, L.L. & Wenrich, M.D. (1996), “Feasibility of hospital-based use of peer ratings to evaluate the performances of practicing physicians”, Acad Med,71:364-70.

Ramsey, P. G., Wenrich, M. D., Carline, J. D., et al (1993), “Use of peer review ratings to evaluate physician performance”, JAMA, 269, 1655–1660.

Royal College of Physicians and Surgeons of Canada. CanMEDS project. (www.rcpsc.medical.org/canmeds/index.php).

Simon, L. (1992), “Evaluation of department heads”,The CMA Guide to Medical Administration in Canadian Hospitals, CMA, Ottawa,F3.2-F3.10.

Snell, J. (1997), “Assignment Report of a Short-term Consultancy on a National QA System for Microbiology”, September, India.

Stone, T.H. & Meltz, N.M. (1993), “Human Resource Management in Canada”, 3rd ed, HR&W, Toronto, 494-495.

Von Glinow, M.A. (1989), “Appraising the performance of professional employees”, In Mohrman AM Jr, Resnick-West SM, Lawler EE III: Designing Performance Appraisal Systems: Aligning Appraisals and Organizational Realities, Jossey-Bass, San Francisco, p. - 196.

Weaver, M.H., Walker, D.J. & Degenhardt, E.F.(1993), “A questionnaire for patients' evaluations of their physicians' humanistic qualities”, J Gen Intern Med, 8:135-9.

Wenrich, M.D., Carline, J.D., Giles, L.M., & Ramsey, P.G. (1993), “Ratings of the performances of practicing internists by hospital-based registered nurses”, Acad Med, 68:680-7.

Wilkinson, S. (2001), “Consultant appraisal scheme: barriers and success factors”, Clinician in Management,Vol. 10, pp.-12–14.


Refbacks

  • There are currently no refbacks.




Editorial Office:

Educational Research Multimedia & Publications,
S.N. 21, Plot No 24, Mirza Ghalib Road Malegaon Nasik,
Maharashtra India - 423203.
+919764558895 (whatsapp),
editor@scholarshub.net, www.scholarshub.net

Copyrights © 2010-2020 - ERM Publications, India     

This work is licensed under https://creativecommons.org/licenses/by-sa/4.0/