MALABAR INSTITUTE OF MEDICAL SCIENCES LTD.

MIMS PERFORMANCE APPRAISAL ( April-2015 - March-2016)

KPI ASSESSMENT SHEET

KPI ( Dietary)

Name of
Employee
: :
Emp.
Code :
:
Desig
natio
n Marks
Date of
Rating Scale Joining :
Excellent 9 - 10
Very good 7-8
Department Good 5-6
Average 3-4
Marks for each traits should be awarded as per
Below Average the below
1 - 2 rating score of 1 - 10.

SL. Designation KPI Score

Comments
No
1 Deputy Manager X% adherence in quality auditing of diet counselling by dietitians

2 Deputy Manager X% adherenec to error free job allocation for dieticians

3 Deputy Manager X% adherence to TAT in developing & updating diet sheets & brochures

4 Deputy Manager X% adherence in developing healthy recipes for patients

5 Deputy Manager X% adherence in providing quality counselling for obesity follow up patients

6 Deputy Manager X% adherence in providing quality training ( CMNE)

1 X% adherence to TAT in collecting daily consolidated list of in patient

Dietitian / Sr.Dietitian
occupancy with details of diet instructed by consultant

2 Dietitian / Sr.Dietitian X% adherence to error free Diet counselling to required patients

3 Dietitian / Sr.Dietitian X% adherence to TAT in taking corrective actions to remove discrepancies if any

4 Dietitian / Sr.Dietitian X% adherenec in error free checking of food samples

5 Dietitian / Sr.Dietitian X% adherence to error free planning of special diets as per special
requirement and giving instructions to catering staff

1 RT Feed Maker X% adherence in ensuring high degree cleanliness of the RTF area

2 RT Feed Maker X% adherenec to TAT in preparation of standard feeds

3 RT Feed Maker X% adherence to TAT in delivering the prepared feeds to patients

4 RT Feed Maker X% adherenec in error free billing of RT Feeds

5 RT Feed Maker X% adherence to TAT in collection of intended items from stores

Final Remarks :
Total Marks /

Assessed by
Name : _______________________________________________________
Signature : __________

Designation : __________________________________________________
Date : ______________
Department : ___________________________________________________