Sedentary to Light
0 - 3.5
Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work.
Medium
3.6 - 6.3
House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs).
Heavy to Very Heavy
> 6.4
Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood.
As relates to this position:
●Sedentary to Light - CONSTANT
●Heavy to Very Heavy - N/A
I. Specific Job Responsibilities (Essential Functions):
1. Performs routine clerical duties to support all programs in the daily operation at Family Services. Orders supplies and forms as needed in a timely manner.
Meets Expectations Does Not Meet
2. Manages the phones, greets clients and visitors to the building in a professional and welcoming manner. Notifies all staff of appointments in an efficient and timely manner.
Meets Expectations Does Not Meet
3. Completes eligibilities and billing entries and assist staff with needs for specific programs including data collection and outcome measurements.
Meets Expectations Does Not Meet
4. Channels information to appropriate staff members, physicians and other departments accurately and in a timely manner.
Meets Expectations Does Not Meet
5. Asserts adherence to rules in a non - threatening and positive manner. Secures and locks facility at closing.
Meets Expectations Does Not Meet
II. Organizational Responsibilities:
1. Completed mandatory education, annual competencies and department specific education within established timeframes.
Meets Expectations Does Not Meet
2. Completed annual employee health requirements within established timeframes.
Meets Expectations Does Not Meet
3. Maintained license/certification, registration in good standing throughout fiscal year.
Meets Expectations Does Not Meet N/A
4. Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self. Identifies and works to reduce potentially unsafe patient care or other safety practices.
Meets Expectations Does Not Meet
5. Adheres to regulatory agency requirements, survey process and compliance.
Meets Expectations Does Not Meet
*Please use the following to determine the rating for Section I and Section II:
●If employee is rated "Meets" at least 7 of 10 in Sections I and II, their rating is "Meets".
●If employee is rated "Does Not Meet" for 4 or more in Sections I and II, their rating is "Does Not Meet".
Based on the above, the rating for Section I and Section II is:
Meets Expectations Does Not Meet
1. “Sets the Stage” by using greetings/introductions when interacting with any customer or entering a patient room. Looks and acts like a professional. Uses consistent phone etiquette. Helps people who look lost or confused. Keeps a clean and professional environment and work space. Clarifies expectations and creates positive handoffs and positive lasting impressions.
Exceeds Expectations Meets Expectations Does Not Meet
2. Fosters a teamwork approach by respecting other members of the hospital team. Stays involved and informed of happenings within the organizations. Creates win-win situations by helping others. Works to resolve conflicts and concerns in a constructive way and asks for assistance in helpful ways.
Exceeds Expectations Meets Expectations Does Not Meet
3. Is the Owner: Takes responsibility for problems, issues or opportunities for improvement by initiating constructive review of concern rather than negatively attacking an issue. Understands systems and processes and uses appropriate channels to address concerns when out of own span of control. Demonstrates compassion and works beyond “own assignment” by seeing “big picture”.
Exceeds Expectations Meets Expectations Does Not Meet
4. Creates a Caring Environment by communicating in helpful ways. Always protects the confidentiality and dignity of patients and others. Listens with empathy and understanding and provides options and choices.
Exceeds Expectations Meets Expectations Does Not Meet
5. Provides Great Explanations through user-friendly information and explanations (uses language others can understand). Makes sure people know what they can and cannot expect and checks for understanding and agreement.
Exceeds Expectations Meets Expectations Does Not Meet
*Please use the following to determine the rating for Section III:
●If employee is rated "Exceeds" for at least 3 of 5 AND is rated "Meets" for the remaining, their rating is "Exceeds".
●If employee is rated "Exceeds" for less than 3 of 5 and "Meets" for the remaining, their rating is "Meets".
●If employee is rated "Does Not Meet" for 2 or more, their rating is "Does Not Meet".
Based on the above, the rating for Section III is:
Exceeds Expectations Meets Expectations Does Not Meet
IV. Overall Performance Summary:
Based on the rating for combined Section I and II, and rating for Section III, please select the overall rating for this evaluation period using the outline below.
Exceeds Expectations: Demonstrates exceptional behaviors and exceeds position requirements. Willingly accepts additional responsibilities. Demonstrates expertise in relevant skills and utilizes knowledge to support overall department/organizational goals
●Employee rates "Meets Expectations" for 10 out of 10 in Sections I and II
●Employee rates "Exceeds Expectations" in Section III
Meets Expectations: Achieves and may occasionally exceed performance expectations while demonstrating expected behaviors.
●Employee rates "Meets Expectations" in Sections I and II
●Employee rates "Meets Expectations" in Section III
Does Not Meet Expectations: Performance improvement is needed in one or more areas of expected behaviors or job results.
●Employee rates "Does Not Meet" for their overall rating for Section I and Section II OR for Section III
*Please select the appropriate Overall Performance Summary rating for the review:
Exceeds Expectations Meets Expectations Does Not Meet
As an organization we prioritize the delivery of a valuable offering to those we serve. For Butler Health System, that means delivering the highest quality of service at a reasonable cost all the while exceeding expectations related to the level of service.
●Please describe how you have contributed to and supported the BHS Value Equation:
Click to enter details N/A (Manager only)
Development and Training:
Employee future development goals/objectives:
Click to enter details N/A (Manager only)
Reviewer recommendation for further development and training for purposes of preparing for additional responsibilities or for the improvement of current job performance:
Click to enter details N/A
Ongoing Counseling for Performance Behaviors:
Reviewer: Please indicate whether employee was disciplined during the course of this review period and if so indicate at which level and the reason(s).
Not disciplined during this review period Disciplined during this review period at a level of:
Oral Counseling Written Probation Suspension* N/A
If disciplined during this review period, indicate reason: (note: if multiple reasons apply, please select “Other”)
Absenteeism Tardiness Policy Violation Dress Code Improper Conduct Unsatisfactory Performance Improper Attitude Other N/A
Note: If suspended for any reason during the fiscal year, employee will not be eligible for any increase.
Employee to complete the following:
●Highest Level of Education Completed:
HS Associate Bachelor Masters Doctorate N/A
●Course of Study/Major for Highest Level of Education Completed:
Click to enter details N/A (Manager only)
●License(s)/Certification(s)/Registration(s) currently held:
Click to enter details N/A (Manager only)
Review Acknowledgement: My signature indicates that I have had an opportunity to review and discuss my performance review with my reviewer. I further acknowledge that my signature indicates that I have reviewed the content of the performance review, not whether I agree or disagree with it.
Acknowledgement of Code of Conduct : My signature below indicates that I acknowledge that I have received and have read a copy of the Butler Health System Code of Conduct Policy. I know that additional copies are available to me through the company intranet or that I may also receive a copy by requesting one from my manager, the Human Resources Department, or from the Corporate Compliance Officer. I agree to abide by this policy and if there is anything I don’t understand I will contact my manager or the Corporate Compliance Officer at Ext. 5924 for clarification. I also verify that I am not aware of any conduct or action on the part of any Butler Health System or Butler Memorial Hospital employee, staff member or supplier of goods or services that I reasonably believe is or could be a violation of the Butler Health System Code of Conduct. If I wish to report any concern or action, I may do so by placing a call to the Compliance Hotline by dialing 1-855-661-0965.