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Individual Performance Commitment and Review (Ipcr) : Approved by Date

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Catherine Mae Chiong

This document contains an Individual Performance Commitment and Review (IPCR) form for an employee of the HIM Division of the Admitting Section at the Jose B. Lingad Memorial Regional Hospital in San Fernando, Pampanga, Philippines. The form outlines targets and measures for evaluating the employee's performance from January to June 2017. It includes spaces for commenting on the employee's output and success indicators, providing an overall rating, and making recommendations for development. The employee and their supervisor must sign off to certify the performance assessment.

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Download as xlsx, pdf, or txt

Individual Performance Commitment and Review (Ipcr) : Approved by Date

Uploaded by

Catherine Mae Chiong
219 views7 pages
This document contains an Individual Performance Commitment and Review (IPCR) form for an employee of the HIM Division of the Admitting Section at the Jose B. Lingad Memorial Regional Hospital in San Fernando, Pampanga, Philippines. The form outlines targets and measures for evaluating the employee's performance from January to June 2017. It includes spaces for commenting on the employee's output and success indicators, providing an overall rating, and making recommendations for development. The employee and their supervisor must sign off to certify the performance assessment.

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IPCR Form 2017

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This document contains an Individual Performance Commitment and Review (IPCR) form for an employee of the HIM Division of the Admitting Section at the Jose B. Lingad Memorial Regional Hospital in San Fernando, Pampanga, Philippines. The form outlines targets and measures for evaluating the employee's performance from January to June 2017. It includes spaces for commenting on the employee's output and success indicators, providing an overall rating, and making recommendations for development. The employee and their supervisor must sign off to certify the performance assessment.

Copyright:

© All Rights Reserved
Download as XLSX, PDF, TXT or read online from Scribd
Download as xlsx, pdf, or txt
219 views7 pages

Individual Performance Commitment and Review (Ipcr) : Approved by Date

Uploaded by

Catherine Mae Chiong
This document contains an Individual Performance Commitment and Review (IPCR) form for an employee of the HIM Division of the Admitting Section at the Jose B. Lingad Memorial Regional Hospital in San Fernando, Pampanga, Philippines. The form outlines targets and measures for evaluating the employee's performance from January to June 2017. It includes spaces for commenting on the employee's output and success indicators, providing an overall rating, and making recommendations for development. The employee and their supervisor must sign off to certify the performance assessment.

Copyright:

© All Rights Reserved
Download as XLSX, PDF, TXT or read online from Scribd
Download as xlsx, pdf, or txt
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Republic of the Philippines

Department of Health
Regional Field Office No. 3
JOSE B. LINGAD MEMORIAL REGIONAL HOSPITAL
City of San Fernando, Pampanga

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)


I, __________________ , of the HIM Divison of ADMITTING SECTION commit to deliver and agree to be rated on the attainement of the following targets in accordance with the indicated measures for
the period JANUARY to JUNE, 2017.
Date: January 5, 2017_______________

Approved by Date

Immediate Supervisor
5 – Outstanding
4 – Very Satisfactory
3 – Satisfactory
2 - Unsatisfactory
1 - Poor

Success Indicator Rating


Output Actual Accomplishments Remarks
(Target + Measure) Q1 E2 T3 A4
Support Functions:
.

RATING
Total Overall Rating

Final Average Rating

Adjectival Rating
Comments and Recommendation for Development Purposes (Please do not leave this blank)

Discussed With: Assessed by: Date Final Rating by: Date


I certify that I discussed my assessment of the perfomance with the employee

Employee Supervisor Head of Office


Legend: 1- Quality 2 -Efficiency 3 - Timeliness 4 - Average

ISO CERTIFIED HOSPITAL - QUALITY MANAGEMENT SYSTEM


This document is a property of Jose B. Lingad Memorial Regional Hospital and the content are treated confidential therefore, unauthorized reproduction is
strictly prohibited unless otherwise permitted by JBLMRH Top Management
OFFICE PERFORMANCE COMMITMENT AND REVIE

I,___________________________, Head of the ____________________________________, commit to delive


targets in accordance with the indicated measures for the period _______________ to _________________

Head of Office Date: _______________

Approved By:

<Name of Agency Head>


Head of Agency

RATING SCALE

KP PERFORMANCE Alloted
Major Final Output Functional Objectives
THRUST INDICATORS Budget

RATING

Total Overall Rating

Final Average Rating

Adjectival Rating
Comments and Recommendation for Development Purposes

Assessed by: Final Rating by:


Date Date

Planning Office PMT Immedia

Legend: 1- Quantity 2 -Quality 3 - Timeliness 4 - Average


DOH - SPMS Form 1

OMMITMENT AND REVIEW (OPCR)

_______, commit to deliver and agree to be rated on the attainment of the following
___ to __________________, 20_____.

___________

Date

ad>

RATING
Remar
Actual Accomplishment
QLY ks
QTY (1) T (3) A (4)
(2)
Date

Immediate Supervisor

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