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CHAPTER 1
INTRODUCTION
This report has been prepared for partial fulfillment of 14 weeks internship period for
MBA program. Organizational attachment period is from March 1, 2006 to May 30,
2006. During the organizational attachment period the report named Competency
Based Job Analysis and Performance Management of Non-Medical Staff at
Apollo Hospitals, Dhaka. was assigned by Mr. Debashish Saha, DGM-HR (ex) at
AHD (Apollo Hospitals Dhaka) and approved by institution supervisor Syed Alamgir
Jafar at IBA , University of Dhaka.
1.2 INTRODUCTION
As being one of the biggest hospitals in Bangladesh, Apollo Hospitals Dhaka is at the
forefront of medical technology and expertise and provides a complete range of the
latest diagnostic, medical and surgical facilities for the care of its patients. The
hospital is having all the characteristics of a world-class hospital with wide range of
services and specialists, equipment, & technology, ambience and service quality.
But the quality of a hospital service is not defined by the appearance of its facility.
Rather the service quality depends more on the sincerity of the hospital and its human
resources to serve the patients.
In Bangladesh, the health care sector is not yet developed. A large number of people
go abroad for treatment due to low quality of medical facilities in Bangladesh. And
the main target market of Apollo Hospitals Dhaka is the people who want to get world
class treatment inside the country with affordable cost.
To ensure the proper customer satisfaction, the hospital management has to employ
the right people in right place. Prior to this a detailed job Analysis is almost essential.
With Job Descriptions and a sophisticated Job Evaluation system, management will
be able to recruit and determine pay levels better, determine the types of training the
hospital staff should go on and have a basis to appraise them. Job Descriptions
furnished by business units are current and accurate so that the Job Evaluation
exercise will produce the desired outcome. With proper Job documentation, HR will
be able to integrate their initiatives towards the personal and career development of
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I believe that a better understanding of the Job Description and Job Specification
would help HR policy and decision makers to implement programs tailored to
organizations needs and available HR quality as perceived by both internal and
external customers of HR department. I hope that the report will play a role, no matter
how small, in developing the HR practices for promoting and improving the Human
Resources available at Apollo Hospitals Dhaka
The objective of the internship program is to explore real life business situation to
business graduates so that they can utilize theoretical learning in the real life
situations. It helps internee students to integrate their four years academic learning
with real life business problems. For this particular report, the objectives are:
1. To review all job descriptions for the non-medical staff and finalize the format
of job descriptions.
2. To identify the measurable performance standards of each designation.
3. To develop the performance appraisal format keeping the options for full
circle appraisal.
4. To develop a training program for the appraisers for introducing the new
appraisal system
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The scope of the report is limited to the non medical category of employees in Apollo
Hospitals Dhaka. The medical side comprised of Consultant Physicians, Nurses and
paramedics are supervised by the Medical Service Department. The report covered the
administrative side of the hospitals. The covered departments are Accounting &
Finance, Billing, HR, Business Development, Material, Operation and Engineering.
1.5 LIMITATION
As being a relatively new organization, all the information regarding the Job
Analysis and Performance management is not readily available.
As the hospital is in almost at its beginning stage, there exist role conflict and
role ambiguity among the staff. So the true picture of the job is not so easy to
identify.
No prior study has been done in any section, so very less number of
documents is available.
In direct person to person interview, it was not that convenient to have free
time from the person as everyone is occupied with hospital development.
1.6 METHODOLOGY
This report will be based upon qualitative methods. This is type of case study. A
method for learning about a complex instance, based on a comprehensive
understanding of that instance, obtained by extensive description and analysis of the
instance, taken as a whole and in its context. Case study research is a time-honored,
traditional approach to the study of topics in social science and management. In case
studies, in comparison, one is generalizing to a theory based on cases selected to
represent dimensions of that theory. In this project I tried to find out the applicability
of competency based HR practice in Apollo Hospitals. Before doing the qualitative
study, a detailed background study will be conducted. This background study will
determine the current Job Analysis scenario in Apollo Hospital. As the whole process
is not structured enough, this study will be done through exploratory and observation
method.
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1.6.3 Interview, Focus group and panel discussion with the employees
Primary and secondary data were collected for preparing this report.
Primary data were collected interviewing the employees of different
levels of different functional areas. Secondary data were collected from
various publications, various documents stated in written form and
other periodic publications.
Interviews will be conducted for the positions which are individual in
nature. Theyre usually of executive category. They are of managerial
positions and executive positions.
Focus group research is based on facilitating an organized discussion
with a group of individuals selected because they were believed to be
representative of some class (ex., the class of consumers of a product,
the class of voters). Discussion is used to bring out insights and
understandings in ways which simple questionnaire items may not be
able to tap. Focus Group discussion will be conducted for those
categories whose jobs are more or less similar in nature. Here Focus
Group discussion is more appropriate as the employees with similar
background and job profile will depict their job more profoundly while
theyre in a group.
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CHAPTER 2
HEALTH CARE INDUSTRY IN BANGLADESH
The healthcare Scenario of Bangladesh resembles that of other countries in the Indian
subcontinent. The industry is a blend of government and private sector facilities, with
the government medical college hospitals and a few specialties institute on one end of
the spectrum and a network of basic, primary level of facilities on the other. The
private sector is largely disorganized, comprising of a large number of Nursing
Homes, providing primary and secondary level of health care. These Nursing Homes
are severely limited in terms of range of facilities, services and equipment. In spite of
these drawbacks most private facilities have high occupancy levels, since patients
have few other alternatives. The quality of our medical services is still in question and
is still in need of much development
It is also found out that there have been efforts to improve the health care delivery
system in Bangladesh. The government as well as other non-government
organizations have increasingly emphasized on the quality of care. In accordance with
the suggestions of the World Bank, the new Health and Population Program of the
Ministry of Health and Family Welfare (MOHFW), which began operating in July
1998, has been trying to recommend a thorough organizational restructuring of the
entire sector with the aim of establishing health care services that meet international
standards.
A common observable fact in the health care services including both treatment and
diagnostic services is the lack of faith patients feel in their reliability. Hence many
prefer to travel to foreign countries for even small medical problems.
2.2 COMPETITION
The health care industry is growing very fast as there is huge market potential for the
sector. Some competitors of Apollo are:
BIRDEM Hospital
This is a 390 bed multi-speciality Hospital which has established itself as the best
hospital of the country and stands as a workable model in private sector. Important
departments in addition to Diabetology are Cardiology, Neurology, Neurosurgery, and
Gastroenterology. The hospital is now in the process of expanding its bed capacity to
515. Plans are also being implemented for expansion of Coronary Intensive Care Unit.
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Continental Hospital
Continental Hospital at Gulshan -- is expected to be ready for services by June this
year. The project involving around $37.5 million is being jointly implemented by
United Group of Bangladesh and K P J Healthcare, Berhad, of Malaysia.
Square Hospital
450-bed Square Hospital managed and run by Thailand's Bumrungrad Hospital
International in cooperation with local Square Hospitals Ltd begins functioning in
June. Construction of the hospital on Panthapath involving an investment of $42
million is nearing completion.
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CHAPTER 3
ORGANIZATIONAL PROFILE
Over two decades ago, the first brick was laid at Apollo Chennai, the first corporate
hospital in India. Since that momentous day, the Apollo Group has ascended to a
position of leadership in healthcare across Asia and abroad.
Driven by the vision of its Chairman, Dr. P.C. Reddy, Apollo Hospitals has
transformed the landscape of healthcare in India. The group owns and manages 38
hospitals in and around India today.
It is the largest private healthcare provider in Asia and the fourth largest in the world.
In the years since its modest beginning, Apollo has founded various group companies
to empower its flagship concern, Apollo Hospitals Enterprise Limited, to create a
healthcare powerhouse that has a leadership position in every sphere of healthcare it
has entered.
Overview
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Owned 13
Managed 22
Owned 4
Managed 33
Hospitals 12
Clinic 04
Stand Alone 42
The Apollo Hospitals mission began with the establishment of Indias first corporate
hospital in Chennai in 1983. Today Apollo Hospitals Group is the single largest
healthcare provider in Asia and commands leadership in providing quality healthcare to
large number of nations in the Afro-Asian continent through 37 hospitals and 6400
hospital beds.
The Government of India has declared Apollo Hospitals, India, a Center of Excellence.
The Apollo Hospitals Delhi is one of the largest corporate hospitals in the region. The
Group, with its unique ability of resource management and able deployment of
technology and knowledge is now coming up with another international venture in
Dhaka, Bangladesh.
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Fig:
Fig Global Map of Apollo Hospitals and Other Organizations through Out the
World
Apollo Hospitals Dhaka, a joint project of Apollo Hospitals Enterprise Limited and
STS Holdings Limited. India-based Apollo Hospitals started its services in
Bangladesh and becoming the first private multi-purpose facility in the country that
would pave the way for better treatment of the people. It is a 450-bed super specialty
facility poised to deliver advanced tertiary care of international standards to the
people of Bangladesh. Apollo Hospitals Dhaka is the facility that would be able to
deliver advanced tertiary care of international standards through a world-class service
at an affordable price in the country.
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The hospital, built at a cost of US$35 million on four acres of land at Plot 81, Block
E, Bashundhara Residential Area, is a joint-venture project of Indian Apollo Hospitals
Enterprise Ltd and STS Holdings Ltd.
The Hospital is at the forefront of medical technology and expertise and provides a
complete range of the latest diagnostic, medical and surgical facilities for the care of
its patients. The hospital is having all the characteristics of a world-class hospital with
wide range of services and specialists, equipment, & technology, ambience and
service quality.
The hospital with 4,00,000 square feet area has focused on the Department of
Advanced Cardiology, Cardiac Surgery, Neurology, Neuro-Surgery, Urology, Uro-
Surgery, Endocrinology, Gastroenterology, Critical care, Orthopedics, and other
secondary care departments.
The Hospital is at the forefront of medical technology and expertise and provides a
complete range of the latest diagnostic, medical and surgical facilities for the care of
its patients. The hospital is having all the characteristics of a world-class hospital with
wide range of services and specialists, equipment, & technology, ambience and
service quality.
The skilled nurses, technologists and administrators at Apollo Hospital Dhaka, aided
by state-of-the-art equipment provides a congenial infrastructure for the medical
professional in providing healthcare of international standards.
Objective of AHD
For a long time the people of our country are going abroad and spending huge amount
of foreign currency to get quality treatment facilities. Apollo Hospitals Dhaka will
deliver international standard services at affordable costs and give overseas-dependent
patients a local option.
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Mission Statement
"Our mission is to bring healthcare of international standards within the reach of
every individual. We are committed to the achievement and maintenance of
excellence in education, research and healthcare benefit of humanity."
Promoters
STS Holdings Limited, a dynamic and reputed business Group in Dhaka, is engaged
in education, banking, real estate, manufacturing and exports, freight consolidation
and container services etc.
The group owns International School Dhaka (ISD); managed by Council of
International Schools (CIS), a global organization facilitating education with its
headquarters in the UK.
ADMINISTRATION
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ORGANIZATIONAL STRUCTURE
BOARD OF DIRECTORS
CHIEF EXECUTIVE
OFFICER
DGM- OPS1
DGM-OPS2
MANAGER-
OPERATIONS
3.3.1 DEPARTMENTS
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Department of Neurology
It is one of the well equipped Neurology departments. The department has latest
investigative facilities like Electroencephalograph, Nerve conduction studies which is
presently available in only few centers in Bangladesh. The department is well
supported by CT scan, Neurosurgical department and Physiotherapy department. It
has its own ICU and semi ICU for maximum care for critical patients
Department of Urology
The normal procedures looked into in this department are severe Bronchial Asthma,
Leptospirosis, , Diabetic mellitus, Hypertension, Tuberculosis etc.
All pediatric surgical cases both elective and emergencies are being managed here.
Cosmetic surgeries like repair of cleft lip palate etc. and foreign body removal both
from oesophagus and bronchus are being done here.
Department of Orthopedics:
The Apollo Hospitals Dhaka is having one of the most modern orthopedic
departments in the region. The Orthopedic department has a very well equipped
exclusive operation theatre and a C-ARM image intensifier.
C-ARM image intensifier is used for minimally invasive surgeries. The fracture
reduction and fixation are done under image intensifier control. This leads to faster
healing of the fractures.
Department of Ophthalmology
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This department is having well modern equipments. Other than ENT surgeries micro
ear surgery, nasal endoscopy etc. are being done here.
This department is equipped with large and spacious labour room, first stage room
immediate post partum room, baby warmer and most modern colour scanning. At
present the department provides all routine preventive, promotive and curative service
in Obstetrics and Gynaecology including health education.
Department of Radiology
The facility of Whole Body CT scanner attracts a number of referred cases to this
hospital. Scanning service is available from this department round the clock.
Department of Anesthesiology
There are six operation theatres in the hospital. All operation theatres are built and
equipped to international standards. Latest boiler machines for Anesthesia, ECG and
pulse oximeter for patient monitoring are available with these operation theatres.
More over infusion pumps are available for intra-operative and post-operative
anesthesia.
Blood Bank
Apollo Hospitals Dhaka is having one of the well equipped blood banks in
Bangladesh which is specially designed for collection, safe storage and distribution of
human blood. There are separate rooms for medical examination, blood donation, and
group serology and infection serology. This blood bank is having a capacity to store
200 units of blood. Both whole blood and blood components are issued from the bank.
Further more 24 hour round the clock service is provided here.
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24 hours pharmacy
24 hours emergency power
Ambulance (mobile hospital)
Helicopter ambulance
3.2.3 Specialties
Anaesthesiology General Surgery Ophthalmology
CT Geriatrics Orthopedics
Cardiology Haematology-Clinical Paediatries-Medical
Cardiothoracic Surgery Haematology Paediatries-Surgical
Cosmetic Surgery ICCU/ICU/CTCU Plastic Surgery
Clinical Pathology Microbiology Physiotherapy
Dental Master Health Check Psychiatry
Dermatology MRI Respiratory Medicine
Diabetology Neonatology Rheumatology
ENT Nephrology Radiology & Imaging Services
Endocrinology- Transfusion Medicine/Blood
Neurology
Medical Bank
Endocrinology-
Neurology-Paediatrics Traumatology
Surgery
Emergency Medicine Neurosurgery Ultrasound
Faciomaxillary Obstetrics and Gynaecology Urology
Gastroenterology-
Oncology-Medical Vascular Surgery
Medical
Gastroenterology-
Oncology-Radiation X-ray
Surgical
General Medicine Oncology-Surgical
3.2.4 Services
Radiology
1.5 Tesla MRI Mammography
Spiral Whole Body CT Scanner (64 Slice) ECG
Treadmil 1
with CT Coronary Angiogram
Gamma Camera Echocardiography
X-ray Units Holter Monitor
Color Doppler EEG
Ultrasound Scanners EMG
Cardiac Catheterization Laboratories
Videoendoscopy 24 Hours Ambulance Service
11 Operation Theatres Physiotherapy Center
107 Bed Critical Care Units Health Check Center
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Lab Services
Biochemistry
Haematology
Microbiology
Histopathology
Transplantation Immunology
Transfusion Medicine
Quality Initiatives
Catering Services
In Apollo hospitals Dhaka the support services like house keeping, laundry, food &
beverages are maintained by the worlds leading hospitality company - Compass
Group .
With a large gap between the need and availability of hospitals facilities, the focus is
to increase the bed capacity by about 30% every year.
Major thrust fields of activities of the group consist of Hospitals and Clinics,
Hospitals Consultancy, Information Technology including internet based technology,
Telemedicine, Education and Training, Virtual Medical University, Home Healthcare
and Pharmacy Retailing.
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The second 64-slice computed tomography scanner ever produced by Philips Medical
Imaging, and the first to reach the United States, has been installed and is now in
clinical use at the University of Chicago Hospitals.
The scanner, which has four times as many detectors as a typical multi-detector CT
scanner, combines unrivaled image quality with remarkable speed. It can produce
detailed pictures of any organ in a few seconds and provide sharp, clear, three-
dimensional images, including 3-D views of the blood vessels, in an instant.
At that rate, a 64-slice scanner can gather a high-resolution image of a heart, brain or
a pair of lungs in about five seconds. A scan of the whole body, (in search of a blood
clot, for example, that has become a source of emboli) takes about 30 seconds.
The technology has been particularly exciting for studying the beating heart,
providing the first clear non-invasive images of the heart and its major vessels. The
scans can be timed to use only images gathered between contractions, so that the heart
and its vessels can be seen without the blurring caused by motion.
The scans have their own limitations. Although the scanner table is built to support up
to 450 pounds, it can be difficult to accommodate patients who are morbidly obese.
Each scanner costs between $1.5 million to $2 million.
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The various services offered in Apollo hospital are unique in the country. So the
company asks for a premium price for that. The cost of all the usual services that are
prevailing in the market, are kept on the basis of competitors pricing policy. The
hospital fix price for various special services offered by it only after comparing with
the foreign competitors price. However, hospital management is keen to see that such
charges for service lies in between that charged by international standard hospitals as
well as private hospitals. Charges are fixed in such a way that the hospital earns a
certain amount as a profit over the cost. The operating cost of Apollo is very high in
the context of Bangladesh. So its also explainable for the management for seeking
such a high price for the services.
The followings are the strengths, weaknesses, opportunities and threats for Apollo
Hospitals Dhaka.
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STRENGTHS
Latest State-of-the-art technology
The multinational brand name and image of APOLLO
1st multi specialized tertiary care hospital
Pioneer in corporate health care provider in Bangladesh
Sound financial position
Skilled human resources ( medical )
Excellent relations with media
Good relationship with regulatory body
Multi specialized departments of treatments
Structured Information Technology System ( HMS)
WEAKNESSES
Poor coordination between departments
High operating cost
High price for services
Inadequate promotion in this competitive market
Unavailability of quality medical consumables in local market.
Inadequate use of IT by the employees
Language barrier between management and staff because of low expertise in
English among the nurses and technicians
OPPORTUNITIES
Economic growth of Bangladesh
Large untapped market
Growing demand for world class health care among the citizens
Corporate agreements with corporate houses
Initiatives showed by Govt in promoting health care industry.
THREATS
Rigid govt regulations with regard to expatriate employees.
Emerging competition from the other international hospitals
Price war with local hospitals
Yellow journalism
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CHAPTER 4
A BRIEF OVERVIEW OF HR PRACTICES IN A HOSPITAL
All employees at Apollo Hospitals Dhaka are broadly classified into two categories:
Local and Expatriate. Outside the classification of local and expatriate, employees at
Apollo Hospitals Dhaka are generally categorized as per following:
Regular
Employees who have completed 3- 6 months probation period and who are regularly
scheduled to work at least 48 hours per week. Based on the necessities of organization,
there is a reasonable expectation of continued funding for these positions.
Contract
Employees who have been granted a contract for more than one year and are regularly
scheduled to work at least 48 hours per week to render services against a specific job
assigned to him/her.
Short-term Contract
Employees who are contracted with an expected termination date less than one year
for specific tasks/assignments having approved terms of reference.
Probationer
An employee who is provisionally employed to fill a permanent vacancy and who is
now under probation. Unless confirmed in writing a probationer will continue to be a
probationer.
Temporary
An employee who has been engaged for work which is essentially of temporary
nature or for a specified period or for work of a permanent nature but of a temporary
duration. Merely working on a permanent job will not make an employee a permanent
employee.
Casual
An employee who is engaged for work, which is essentially of an occasion or casual
nature and includes an employee who is temporarily employed in the place of a
permanent employee or probationer who is temporarily absent.
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Apprentice
Apprentice is a person who is undergoing apprenticeship training in pursuance of a
contract of apprenticeship.
Trainee
Trainee is one who is engaged for specific period of time as learner who may be paid
or may not be paid stipend during the period of learning, as may be prescribed by the
Management. The training is liable to be terminated at any time without any notice
and without assigning any reason whatsoever. The management on no account shall
be under any obligation to provide any trainee with a job after completion of the
stipulated training period.
Consultant Physicians
According to employment contract awarded to Consultant Physicians they will be
classified into following categories: a. Consultant under Guaranteed Money, b)
Consultant under Fixed Pay, (c) Consultant under Fee for Services (d) Part Time
Consultant, e) Visiting Consultant. If you have any confusion to categorize your
employment with Apollo Hospitals Dhaka please contact the Office of Human
Resources for necessary explanations and help.
Office Hours
Offices of AHD will remain open for business in the following manner:
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Administrative offices will remain open from 9 AM 5 PM for all days except
Friday with a lunch break of 30 minutes.
In Patient Departments will remain open round the clock everyday.
Employees will follow their shift hours as per the duty roster.
Outpatient Departments will remain open from 9 AM 5:30 PM for all days
except Friday.
The general shift of the Hospital will be from 9 AM 5:30 PM with a lunch
break of one hour.
There is no established "Tea/Coffee break" policy at AHD. Supervisors in each
office determine whether a short break in the daily routine for purposes of
refreshment is appropriate. Such periods of refreshment should not interfere
with or take precedence over any work of AHD.
Attendance
It is the duty of all employees to report IN and OUT Time for work every official
working day unless they are on leave, on tour, or ill.
All employees except CEO/Directors/Consultants/GMs will have to swipe ID
card in the Time Office for recording IN Time and OUT Time.
Failing to record IN and OUT time as per the duty roster will be treated as
absence from duty unless appropriately informed, e.g., leaves, tour, illness. In
general employees needing to be absent or tardy to work for any reason are
responsible for notifying their supervisor as soon as possible upon determining
that they will be absent from work.
Employees found tardy for 3 days in a month will get a deduction of one day
annual leave or one day leave without pay if leave balance is not adequate.
We consider every position at AHD to be essential; therefore, it is important
for you to report to work, as scheduled, during inclement weather. In the event
hazardous weather conditions exist, your arrival time will be considered by
your supervisor.
Professional Appearance
Employees are expected to maintain high standards of personal cleanliness and
to present a neat professional appearance at all times. Employees who are
provided with uniform must wear those while they are on duty.
Employees who are dealing with patients must follow the departmental
guidelines for wearing jewelry/ headgears/other items that may affect the
patients under his/her care.
Employees who choose to wear fragrance in the workplace must be aware of
the sensitivities or allergies of their coworkers.
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Courtesy
It is essential that high standards of personal conduct and courtesy be
maintained at all times. Courtesy is a language that everyone understands and
should be extended to everyone. Good manners, cooperation and consideration
for others are fundamental to the enhancement of AHDs image.
Identification Card
All employees will be provided with an identification card and employees
must wear his/her identification card while they are on the office premises.
The Identification card is the property of AHD and must be presented upon the
request of an appropriate AHD Official, and may be revoked at any time by
AHD.
Performance Expectations
There is a basic expectation that all employees will perform successfully in
their jobs based on the various policies of AHD. Failure to meet performance
expectations can have a variety of workplace consequences.
Honesty
Dishonesty cannot be condoned and will be dealt with promptly in the
following or related circumstances: stealing; lying about matters connected
with work; falsifying time records; unauthorized personal use of AHD
property; doing unauthorized private work on AHD business hours; and giving
or receiving a bribe in any form. Serious disciplinary actions against
dishonesty will be taken as per the AHDs HR policy.
Telephone Usage
AHDs phones are intended for the use of serving its clients and in conducting
the hospitals business.
Personal usage during business hours is discouraged except for emergencies.
All personal telephone calls should be kept brief to avoid congestion on the
telephone line.
To respect the rights of all employees and avoid miscommunication in the
office employees should inform family members and friends to limit personal
telephone calls during working hours.
Employee should record if they make any personal NWD and ISD calls from
office numbers and will be invoiced at the end of month accordingly.
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Political Activity
An employee may engage in political activity outside assigned work hours, but
shall not allow his/her interest in a particular party, candidate, or political issue
to affect his/her performance, job responsibilities, or relationships with co-
workers or other employees.
An employee shall not, directly or by implication, use the name of AHD or
his/her affiliation with AHD in the endorsement of political candidates,
initiatives, referenda, or in supporting or opposing a position on other political
issues.
An employee who plans to campaign for public office or who is elected to
public office should request a leave of absence, if his/her candidacy or public
office prevents him/her from being available to perform his/her assigned
duties and responsibilities. Use of AHD property for political activity is
prohibited.
Tobacco Products
The use of tobacco products is not permitted anywhere on the AHD Office
premises except in authorized and designated locations. Employees must
follow all rules posted in designated smoking areas.
Substance Abuse
AHD is committed to providing a safe and productive workplace for its
employees. In keeping with this commitment, the following rules regarding
alcohol and drugs of abuse have been established for al employees, regardless
of rank or position, including regular, contractual, probationary and casual
employees. The rules apply during working hours to all employees of the
organization while they are on AHD premises or elsewhere on AHD business:
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Solicitation
Solicitations are discouraged on the premises of AHD Office, unless an
employee is acting for a charitable or service organization, and then such
solicitation is not be done during working hours of either the solicitor or the
solicitee and with the understanding that AHD reserves the right to cancel all
such solicitation privileges.
Permission to solicit requires a written formal request to, and written approval
from the supervisor. Such request shall be in writing.
Solicitation includes electioneering of any kind.
Official Asset
Any official assets assigned to the employees are the property of AHD. The
employee will be held responsible for the loss, damage or misuse of the official
asset. However it is Chief Executive Officers discretion to consider if the loss or
damage occurs by external force/circumstances, which shall be strongly justified
with evidence.
All equipment belonging to AHD which the employee has obtained permission
to use at home, such as computer, etc., must be returned to AHD upon a
supervisors request or at the time of separation from employment.
Vehicle Use
AHDs vehicles shall be used for official purposes only unless otherwise
authorized by the Supervisor/Chief Executive Officer or by the Employment
Contract.
Only the authorized employees who are assigned with/entitled to vehicles and
who have valid driving licenses shall be allowed to drive AHD vehicles.
All drivers shall drive in a responsible, defensive manner and at reasonable and
safe speeds. Drivers shall obey all traffic laws and rules. Any violation of traffic
laws by a driver is the responsibility of drivers and not AHD Bangladesh.
Driving under the influence of drink or drugs is considered as major infraction
and will be subject to disciplinary action.
Any accidents or traffic violations by official vehicles must be reported to the
office immediately by the driver and the passengers. If the driver is found
guilty of violation of traffic rules, disciplinary action will be taken against
him/her.
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Personal Property
Employees are responsible for the safekeeping of their personal properties
used or left at the office. AHD assumes no risk for any loss or damage to
personal property.
Office Security
Employees who are issued keys to the office are responsible for their
safekeeping. The last employee, or a designated employee who leaves the
office at the end of business day assumes the responsibility to ensure that all
doors are securely locked, the alarm system (if any) is armed, thermostats are
set on appropriated evening and/or weekend setting, and all appliances and
lights are turned off with exception of the lights normally left on for security
purposes.
This policy does not apply to the appliances that are required to keep on round
the clock.
Sleeping on duty
Under normal working circumstances, no employee will be allowed to sleep
on duty or while providing care for a patient in their home. Employees under
24 hours duty can sleep at Night with the verbal permission from supervisor or
as per the duty guidelines. Employees found violating this policy will be
subject to disciplinary action up to and including termination.
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Fire Safety
Fire is one of the greatest dangers in a hospital as it threatens the safety of
patients, visitors and staff. While not a common occurrence, fires and smoky
conditions unfortunately do occur at AHD. For this reason, it is important that
you know how to prevent fires and respond in the event of a fire or smoke
situation so that you can protect not only your own life but the lives of others,
as well. For additional information and necessary training, please contact our
Fire Safety Team.
Emergency Closings
At times emergencies such as severe weather, fires, or power failures can
disrupt operations of AHD. The decision to close the office will be made by
the Supervisor with the approval of Chief Executive Officer.
When such decision is made, employees will receive official notification from
their supervisors.
All employees of AHD must follow the Code of Conduct. They will sign in the space
provided in Code of Conduct Form to show that the Code has been read and its contents are
understood. The signed document will be kept in the employee file or office file when
employee file is not created.
Political Contributions
AHD will make no contributions, directly or indirectly to any political candidate
or party. AHD will not give employees time off with pay for political activity.
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Conflict of Interest
AHD respects each employee's right to privacy in the conduct of his/her personal
affairs. Employees should be free, however, of outside interests and activities
which might impair the exercise of the employee's independent judgment in
carrying out his/her duties as an employee to act solely in the best interest of
AHD.
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If you are a new employee, the first 90 days of your employment is considered a
mutual evaluation period. This is a trial period, which provides both you and your
supervisor the opportunity to evaluate your ability to proficiently perform job
requirements. During this time, attendance, attitude, ability to learn and perform the
job for which you are hired, along with your ability to work as a team member will be
evaluated by your supervisor.
AHD reserves the right to extend the probationary period should the supervisor need
more time thoroughly evaluate your performance. Such extensions must be submitted
to the Office of Human Resources by the Supervisor prior to the end of the
probationary period for an additional period of time, up to three months. If any time
during the probationary period the supervisor decides that you are not suitable for the
position, your employment will be terminated. No advance notice more than one day
or progressive discipline is required. Supervisor must complete a performance
evaluation on all new regular staff employees by the end of the initial three (3) month
probationary evaluation period.
Notify the Human Resources Department of any changes of family status which might
affect your benefits coverage, beneficiary designation, or tax status. These changes
include: Birth of adoption of a child; death of spouse or child, Marriage; divorce;
address change; marriage of a dependent or dependent reaching majority age
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All new employees must report to HRD for in-processing on or before their first day
of employment. In processing includes, but is not limited to the issuance of an
Employee handbook that includes and overview of the organizations history, mission
amd vision, and prohibition against sexual harassment, drug free workplace and other
available ongoing programs brochure.
All regular employees will receive periodic performance evaluations. Your immediate
supervisor is responsible for conducting at least one annual evaluation. The evaluation
is based upon specific documented performance expectations discussed with you prior
to the period the evaluation will cover. AHDs evaluation program provides a planned
opportunity for you and your supervisor to meet and mutually discuss and document
accomplishments, standards, expectations and overall job performance.
Other means of recognition include the catch of Shining Star Award, On the Spot
Awards and Manager of Year. These are recognized at the Annual Rewards and
Recognition Ceremony.
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4.8.1 Compensation
AHD Recognizes the importance of attracting, retaining and motivating those who
have the skills and abilities to make strong contributions to our organizations to do
this AHD implements salary ranges and that are internally equitable and externally
competitive.
When an error has been made in an employees pay, AHD will make the appropriate
corrections. It is an employees responsibility to check for and immediately report
errors to the Office of Human Resources.
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4.9.1 HOLIDAYS
All employees shall be provided with paid holidays in observance of the following
holidays unless the conditions of work or assignment are set otherwise:
Holiday Days OPD Admin IPD
Eid-ul-Azha 3 days Closed Closed Open
Shaheed Day 1 day Closed Closed Open
Independence Day 1 day Closed Closed Open
Shab-e-Quadar 1 day Closed Closed Open
Bijoya 1 day Open Closed Open
Eid-ul-Fitr 3 days Closed Closed Open
Victory Day 1 day Closed Closed Open
X-Mas 1 day Open Closed Open
Budha Purnima 1 day Open Closed Open
The Office of Human Resources will prepare a list of yearly holidays each year on the
basis of Government holidays. Once the holiday list is approved by the Chief
Executive Officer (CEO), the list will be issued before the calendar year starts for
applying in all AHD Offices.
No additional day will be allowed in the event of a holiday falls on weekend. If the
Government of Bangladesh announces any additional public holiday, it is at the
discretion of the CEO to allow this holiday to employees.
All local employees are entitled to 10 days casual leave, 14 days sick leave and 18
days annual leave per year. All expatriate employees are entitled to 10 days casual
leave, 14 days sick leave and 30 days annual leave per year.
The leave year for each employee will be started from January and will be ended in
December. Leave records for all employees will be updated in the month of
January accordingly.
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Casual Leave shall not be granted in combination with any other kind of leave and
can not be taken more than 3 days at a stretch. Casual Leave shall be non-
cumulative and will lapse automatically at the close of every leave year.
Approved holidays and weekly offs intervening the period of sanctioned Casual
Leave will not be treated as part of Casual Leave.
In the first year of services casual leave will be given to employee on pro-rata basis,
i.e. on the basis of the number of months he/she has worked.
An employee shall be eligible for sick leave up to a maximum of 14 days. Sick leave
for 3 days or more shall be granted only on production of a medical certificate
from a registered Medical Practitioner. In case medical certificate is obtained from
a registered medical practitioner for sickness lasting for five days or more the
same has to be endorsed by the Medical Officer of the hospital, failing which sick
leave will not be granted. The Management will have right to curb sick leave
obtained on false ground.
In the first year of services sick leave will be given to employee on pro-rata basis, i.e.
on the basis of the number of months he/she worked. Sick Leave can be
accumulated for a period of 28 days.
All regular employees who have worked for a continuous period of one year shall be
eligible for annual leave. In the first year of employment a total of 6 days annual
leave can be obtained by the employee during the second six months of service.
No annual leave can be taken during the first six months of employment.
Any approved holidays intervening the period of sanctioned annual leave will be
treated as part of annual leave.
A female employee who is pregnant shall notify the office at least 3 (three) months
prior to the expected delivery date.
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Employees are entitled to Compensatory Time Off (CTO) which is a rest day given to
employees whenever they are called upon to work on a weekend or during any
time of a period of eight hours other than the scheduled hours of work. CTO must
be availed within one week time of its earning otherwise CTOs will be exhausted
automatically. Record of such CTOs will be maintained in the department.
Leave without pay shall be granted to an employee when no other leave is due to him
only at the discretion of the Management.
Except in exceptional circumstances, the duration of leave without pay shall not
exceed 6 (six) months on any occasion for which special sanction has to be
obtained from the Management.
An employee donating blood at the blood bank will be granted one day special leave
only on production of a certificate from the Blood Bank Officer of the hospital to
that effect. Special leave can be availed within a month from the date of donating
the blood. Special leave will not be granted to employees who donate blood to
their relatives in a private capacity.
Special leave shall also be granted to employees in the event of any ailments or
accidents arising out of or in the course of employment. The limit for sanctioning,
such special leave will be at the discretion of the management.
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3. Leave of any kind cannot be claimed as a matter of right. When the exigency of
the services is so required, an authority authorized to grant the leave reserves
discretion to refuse/defer or revoke leave of any kind.
Leave shall not be granted to an employee who is under suspension are against the
disciplinary proceedings are pending.
Employee remains absent for duty for a continuous period of more than 7 days
without prior intimation are sanctioned suitable action shall be initiated against
him/her.
An employee on leave may be recalled for duty by the Management whenever deems
fit to do so.
In the event of the employee resigning the services, he/she shall not avail any type of
leave during the notice period, as active service during such period is mandatory.
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1. All AHD employees will be provided with a group life insurance scheme as per
the assured sum shown in the following table. Insurance premium will be given
on co-pay basis.
2. All AHD employees will be provided with Out-patient and In-patient treatment
facilities with discounted rate as given below:
3. Any AHD employee needs to have OP treatment must go through the Staff Clinic
first. Staff Clinic will refer the concerned employee to the specialized department
or consultant as deemed appropriate.
5. Discount will be given to AHD employees, dependants and their parents for OPD
services as given below:
6. All AHD employees and their dependents will only be charged for Consumables
and Medicine costs when they are admitted in Apollo Hospitals Dhaka. Parents of
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AHD employees will be provided with 20% discount on the total bill when they
are admitted to Apollo Hospitals Dhaka.
7. For any special discount which is beyond this policy approval must be taken from
CEO on case to case basis.
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Minor Misconduct' is the misconduct that have little effect on the continuity,
efficiency, and safety of AHD work, but cannot be tolerated if repeated. The following
are a few examples and the list is in no way all inclusive:
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Examples of 'serious misconduct' in the course of employment include but not limited
to:
willful insubordination or disobedience, whether alone or in combination with
others, to any lawful or reasonable order of a superior;
Gross negligence of patient care.
Major improper administration, preparation and/or dispensing of medication
and / or patient care.
Knowingly harboring a physical or mental disease that may constitute a hazard
to patients, visitors, or co-workers.
theft, misappropriation of funds, fraud or dishonesty in connection with the
employers business or property;
taking or giving bribes or any illegal gratification in connection with his/her or
any other employees employment under the employer;
habitual absence without leave;
habitual late attendance;
riotous or disorderly behavior in the office premises or any act subversive of
discipline;
falsifying, tampering with, damaging or causing loss of employer official
records;
serious harassment, a serious or habitual breach of the AHD Bangladeshs
policies or regulations; and
Repeated actions of minor misconduct.
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AHD does not tolerate sexual harassment by any of its employees, supervisors, and by
any other person associated with AHD. AHD affirms its commitment to maintaining a
working environment that is fair, respectful, and free from sexual harassment
The determination of what constitutes sexual harassment will vary with the particular
circumstances, but may be described generally as: Unwelcome sexual advances,
requests for sexual favors, and other verbal or physical conduct of a sexual nature
when:
c. Such conduct has the purpose or effect of interfering with an individual's work
performance or creating an intimidating, offensive or hostile work
environment.
Employees who believe they are victims of sexual harassment should immediately
report to the Supervisor. If supervisor is the alleged person then employee must report
to the Office of Human Resources. The Office of Human Resources will advise the
employees for the next steps as per the policy laid down against sexual harassment.
Employees who present a charge pursuant to the policy against Sexual Harassment
will not suffer any adverse employment consequences for making a complaint nor for
taking part in the investigation of a complaint.
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AHDs grievance policy assures that individuals may seek answers to questions and
resolutions to complaints without fear of restraint, interference, correction or reprisal.
Many problems can be resolved informally. However, if attempts at informal
resolution are not satisfactory they can be addressed through the grievance procedure.
The employee, in the event s/he has any grievance, will observe the following
procedures:
First Step
If you have a work related problem or sufficient grounds to express a grievance, you
have 15 days from the time of the incident to submit your grievance in writing to your
supervisor. If the problem involves your immediate supervisor, you may submit the
grievance to the person at the next level of Management.
All complaints must be in writing, signed and dated.
Second Step
The supervisor at every step is allowed to 5 days to submit a written response to your
grievance. If you are not satisfied with the answer you receive at the first step, you
should submit a written statement of the problem to the person at the next
management level. You must also submit a signed copy of your grievance and the
supervisors response to the Office of Human Resources.
Third Step
If you do not receive satisfactory resolution at the second step, you may appeal the
decision to Chief Executive Officer The Chief executive officer is the final authority
to make a final decision binding on all parties.
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Separation of employment with AHD can take place in the following process:
6. Death: Departments are responsible for notifying Human Resources of the death of
an active employee. The nominee or next to kin should receive the final paycheck.
When you would like to proceed for voluntary separation you should place your
resignation to CEO through your Immediate Supervisor. Your immediate supervisor will
forward this to Office of Human Resources for necessary actions.
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responsible for notify the office of Human resources of your separation. You are
responsible for scheduling an exit interview.
During the exit interview, you will be given the opportunity to discuss your work
experience at AHD and reasons for separation, If you cant attend a face to face
interview, a questionnaire will be mailed to you for completion. The completed
questionnaire must be returned to the Human Resources Department.
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Accountability Treats customers property and AHD property with care and
respect.
Demonstrates conservation and responsible use of
resources.
Contributes to the safety and security of AHDs
environment through personal actions
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CHAPTER 5
COMPETENCY BASED HR PRACTICE A BRIEF OVERVIEW
The underlying factor of this Job Analysis is the behavioral language to build robust
core competencies, core values, priorities and skills that describe, guide and link the
actions at work. Describing what was done helps performance measurement,
describing what is being done helps training and describing what should be done
helps define selection standards and performance goals.
This is about having the employees of the organization align their actions with the
organizational identity and goals. The most effective way of achieving the same is to
allow the concerned employees to participate in the process of strategic decision
making. This participation generates a sense of belonging among the employees
towards the organization and they feel motivated to work towards achieving the goals
that the organization may have set for itself. A very effective way of building
alignment is to behavioral language to convert the vision and mission statements into
clear actions, which need to be performed and conveying these actions to the
employees. The employees can be involved with the framing of the vision and the
mission statements. It can help if all the employees speak the same language, i.e. they
have the same interpretation of the ultimate goals of the organization. Using the vision
and mission statements in the selection procedures can do this. This allows an initial
filter, which allows only those people who fit into the mould of the organization to
join in.
Identity, process and strategy are crucial for survival in todays world of cutthroat
competition. Conceptual leadership is becoming more crucial and the time available
for critical thinking is diminishing by the day. The need of the day is of robust
solutions to practical problems. Robust solutions are those, which work in the face of
adversities. Behavioral competencies can be an asset to any organization. They are
robust and are useful but can be hampered by abstract language and personality traits.
Therefore it becomes imperative that the building of robust human resource
competencies should be preceded by explicit explanation of the same such that
everyone is able to easily understand.
There may arise many situations where there is a lot of ambiguity. In such situations,
simple decisions become difficult and ineffective. To avoid this state, one needs to be
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very clear about the existing situation and equally lucid about the course of action to
be adopted from thereon to resolve the situation. Competencies help develop the
required clarity.
Here one need to understand what is meant by the term competency. Competency
means different things to different people based upon their perception and context of
application. In the field of Human Resources, competencies often deal with the
characteristics of a person. An individuals competency is defined as
A written description of measurable work habits and personal skills used to achieve
a work objective.
To make the description clearer, following are a few points to keep in mind: -
- An individual competency is different from the organizational competencies,
capabilities, values and priorities
- A written description communicates exactly what the term competency means
- Measurable work habits and personal skills implies that competencies are a fair
measure of an individuals actions
- Individual competencies contribute to achieving a common work objective
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diffuse conflicts and disagreements because they help put forward the situation in a
very lucid format and give a different perspective to the entire matter. Behavioral
language allows easy communication of standards, expectations, goals and objectives,
thus making it the ideal way to build robust competencies.
One of the major challenges is participation. There may be two types of competency
developments. One, which is faster and the other which is better. The faster model of
development may be efficient in terms of the time taken for the development of the
competency model, but eventually it may turn out to be more expensive. Executives
sitting behind a closed door trying to formulate the competencies required and the
competency model is not a feasible idea since the employees who are going to be
subjected to that change might not like the model and refuses to use it. Participation is
absolutely critical for acceptance and application of the competency model.
Participation is not a manipulative ploy, but a mechanism for making your
competencies more reflective of the true cause of performance. For the model to
persist in the organization there should be broader participation in terms of multiple
opinions and the ability to think and argue. Participation becomes a huge factor in the
successful implementation of the competency system. Behavioral language is used to
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link what needs to be done with individual actions. Competencies become tools for
direction and change. Assimilation of competencies into the everyday
communications helps specific and explicit expression of feelings and opinions.
The next challenge is measurement. Measurement is very crucial since the progress of
a project or the performance of an employee can be tracked only when it is measured.
Also in situations where the employee demands an explanation the only way out is by
having hard evidence on our hands. This evidence is provided by measurements.
Measurement can be used to fathom the skill level of any employee which is being
selected for a particular assignment. Measurement systems though have to be
validated before they are pout into action. For this purpose, they are put through a
battery of test and the results observed to check whether they are in keeping with the
characteristics observed.
Negative feedback and the way it is taken is another big challenge that any
organization may face. Some employees may not take a negative feedback
constructively and cause harm to the organizational goals.
Therefore the organization should have the courage to face the conflict that would
arise when negative feedback is given. It is extremely important to have accurate
performance measures when it influences compensation, promotion and career
opportunities. Many managers shy away from giving negative feedback because of
the awkwardness or the fear of a legal battle. To resolve these matters, there are
models which have a cap on how low the measurements can go or there are a few
other models which use a threshold of minimum acceptable performance. These
models may avoid the unpleasantaries but at the cost of overlooking and actually
accepting negative or undesirable performance into the organization. Thus, negative
measurement or feedback though extremely necessary, should be handled with care
since it is very difficult to accept.
The one other challenge that the competency system must face is that of the expense
incurred in designing and implementing the system. Development of competency
systems which may function as performance appraisal systems and their
implementation is an expensive option and should be exercised only after taking all
the considerations. These days the use of computers is relaxing the stranglehold of
price on such systems. Softwares are being developed to automate and handle each
and every task like structuring the interviews or groupware to encourage the groups to
work on a problem and find the solution collectively.
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To fully garner the benefits of the competency system, they need to be in sync with
the current requirements of the organization and its goals. Competencies when in
service of customers are powerful business tools. But it is extremely imperative to
understand the meaning of the term competency in the given context. The competency
scope does just that. It outlines what needs to be done in order to meet the
requirements of the customers. In a competency scope, competencies are discussed
with special attention on two factors; viz: the LEVEL factor which specifies how an
organization can be effective in the marketplace or how an individual can be effective
in doing a particular job and the TYPE factor which distinguishes between the use of
concepts.
Coming back to the core competency model, it is partitioned into four parts: -
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Organizational characteristics:
When the slices I and II are combined, the organizations identity is reflected,
including the work context in which the individual is to perform. The more familiar
components of organizational identity include vision, mission, values and culture.
Core competencies provide the basis for an organization to define itself beyond its
specific end products. Core values and priorities are quite different from core
competencies.
Individual characteristics:
Slices III and IV pertain to the skills used by the individuals to perform their specific
jobs. They reflect the job content including specific tasks to be performed and the
individual characteristics needed to carry them out. Assessment technology offers a
perspective that distinguishes between a performance skill and a competency. The
behavioral approach to assessment would say that a performance skill can be directly
observed and described in terms of the things a person is observed to say or do. It is
very important to describe operational skills in very clear and precise words. In many
instances the organization successfully draws its competency model but fails to
clearly mention the actions to be taken in order to achieve the organizational goals.
Consequently, even though the organization competency model is ready and in place,
it does not deliver the expected returns. Therefore, it becomes imperative to put down
the steps to be taken by an employee to be explicitly mentioned in the competency
plan so that there is no haziness or ambiguity in the understanding of the model. The
statements of the competency plan should be put down in the form of operational
definitions, which explain a concept in the form of steps to be taken to observe it.
However, defining a statement in terms of operational definition is not the job a single
person. It becomes necessary to involve others in the process of defining the steps to
perform a certain task.
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Generally, behavioral language is used to define the actions and whenever a higher
degree of detail is required operational definitions are used. Behavioral language is
very concrete. It describes what one can see or hear being done. A performance skill
written in behavioral language is the sequence of actions to be performed to the job
well. Behavioral language is robust because the actions required to perform the task
can be defined through the written or the spoken word such that any other person
wanting to understand the action can do so, very easily and reasonably accurately.
Verification in the case helps by showing the extent to which two or more people
agree on a behavioral description.
Step I: Observe what a person says or does. Snap judgments are not allowed. Only
observation is what one is supposed to do.
Step II: Describe what is observed in relation to the performance skill. The real test of
the second step is whether another person can verify what has been described.
Step III: Draw an inference from the description. The thumb rule is that this
expansion of the description should be reasonable in light of what was observed and
subsequently described.
The perception of a person depends upon the reactions of one towards that person.
But with the behavioral approach, perception is not reality. The three steps of
behavioral approach enable the development of a reasonable understanding of the
other person by substituting observation, description and inference for perception. A
robust performance skill supports the steps of the behavioral approach. It will not
contain abstract words and references.
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Often the shared values can be traced to the business philosophy held by the founders
and the opinion leaders. An organizations culture is a reflection of these shared
values. They represent one of the important components of the same. One challenge in
generating a value statement involves going beyond feelings about the work situation.
The statement must use behavioral language to describe what people will do when
they are using the value.
There are four organizational approaches that influence the type of Human Resource
systems that are put into place. The four approaches can be summarized as follows:
1. Perception-driven
2. Experience-driven
3. Attribute-driven
4. Behavior-driven
Perception-driven
The perception-driven organization is more intuitive and feeling-oriented. The HR
system in this organization places less emphasis on being specific, gathering
information and measuring. Its HR efforts will rely on gut-feel interviews, likeability
appraisal, motivational coaching and smile training. There is a de-emphasis on
structured job-related HR systems.
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Experience-driven
The experience-driven organization uses work-experience in an intuitive way. A few
features that characterize this approach are:
- Conversational interviews
- Counselor appraisal
- mentor coaching
- Hands-on training
Attribute-driven
An organization that emphasizes attributes uses trait words to describe people. All of a
persons characteristics are considered regardless of the extent to which they are used
in a current work assignment. A few features that characterize this approach are:
- Trait interviews
- Recognition appraisal
- Personal growth coaching
- Instrument training
Behavior-driven
When an organization adopts the behavior-driven strategy, it emphasizes organization,
description and cautious inferences about people. One of the most difficult challenges
faced by a new interviewer is to go beyond the gut-feeling and gather behavioral
information about a candidates job related skills. A second challenge faced by todays
interviewer is to avoid the temptation to asses only a candidates fit to the
organization. An interview that is based on only the candidates fit to the organization
will not measure the skills needed to do the job itself. The behavior-based
interviewing strategy can asses the extent to which a person is both a fit for the
organization and able to do a particular job.
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The manager should bear in mind that the objective of job analysis is not to describe
the person for the job but rather the job itself and later, determine the type of person
suitable for the job.
Once the essential functions and information are determined, a formal Job description
can be compiled.
The Job Description (JD) should provide a positive overall feeling of the job and is
also specific in stating the pre-requisites of the incumbent who can perform the job at
an acceptable level.
It is important that the JD is current, relevant and precise. This importance is not
overstated if we look at the other benefits that we can derive from it:
Recruitment & Selection
Guide recruitment so that better qualified candidates are selected for jobs.
Performance Appraisal
Establish the performance standards on which actual performance is assessed.
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Job orientation
Reinforce employees understanding of his/her role and responsibilities when
these are clearly spelled out.
Work assignment
Enable supervisors to manage assignment of work to employees.
RESPONSIBILITY
The Manager is responsible for ensuring that each staff member has an updated JD, in
the correct format.
Often employees will be involved in the creation and updating of this documentation
as they know their job best.
Job Summary
(Principal Responsibility)
Provides specific information about the outcomes required of the role. It covers the
what, how and why the tasks/duties are done.
Principal Tasks
Divide the job into tasks.
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Principal Subtasks :
Divide each task in to subtasks
Job Specification
(Education, Experience and required knowledge and skills)
Describes what skills, experience and qualifications a Person needs in order to
perform the role competently.
Acceptance Note
It is the written approval of the supervisor and position holder.
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CHAPTER 6
JOB SPECIFICATION FORMAT (of AHD)
JOB SUMMARY
The core responsibility of this position will be written down here.
This should be the summary of the job in 2-3 lines
It is WHAT the position is responsible for, HOW these
responsibilities are achieved and WHY are they done. The
latter element looks at the Key Result Areas which will become
the standards for measuring the actual performance
Break down of the jobs in to tasks. Usually a job consists of 4-6 major tasks.
Task 1
Break down of the task in to several sub tasks.
a. Subtask 1
b. Subtask 2
c. Subtask 3
Task 2
Break down of the task in to several sub tasks.
a. Subtask 1
b. Subtask 2
c. Subtask 3
Task 3
Break down of the task in to several sub tasks.
a. Subtask 1
b. Subtask 2
c. Subtask 3
Task 4
Break down of the task in to several sub tasks.
a. Subtask 1
b. Subtask 2
c. Subtask 3
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BASIC QUALIFICATION
REQUIRED KNOWLEDGE
It is required knowledge the job holder need to perform well in the position. It is more
or less the theoretical knowledge associated with some practical expertise.
REQUIRED SKILLS
This is the practical know-how the person needs to fulfill the job successfully. Itll be
an all inclusive list of skill set.
PHYSICAL ABILITIES
This is the physical fitness a person requires for this job. This should highly non
discriminatory. And it should provide the required provisions for differently able people.
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REFERENCE CHECK
Here the employees past work habit needs to be assessed. Here again this should be
objective and non discriminatory.
PERFORMANCE INDICATORS
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TIPS
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6.2.1 MANAGEMENT
JOB SPECIFICATION
Job title: Head of Department-HR
Department: Human Resources
Reports to: CEO
Supervises
Grade: AM
Category:
Hiring scale:
Service weightage
JOB SUMMARY
STRATEGIC PARTNER
1. Defines the strategic fit of HR in parallel with the whole organizations.
a. Realizes the organization cause of existence along with its mission, vision,
goal and objective.
b. Realizes the parallelism of HR department with the overall organizations
objective.
c. Establishes the linkage between HR with other departments as well as the
whole AHD as an attempt towards an integrative strategy formulation.
d. Institutes departmental causes of existence along with its own mission, vision,
goal and objective.
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ADMINISTRATIVE EXPERT
1. Devises policies regarding overall HR functions.
a. Evolves a code of HR policy and procedures for the hospital, and implement it
in consultation with those concerned.
b. Evolve and systemize HR management practices in the area of manpower
planning, training, promotion, leave attendance, salary, administration etc.
c. Evolves and implement rules and regulations of services for all employees.
d. Obtains approvals from other departments on the formulated policies.
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CHANGE AGENT
1. Implements Performance Appraisal system to identify organizational
performance pitfalls.
a. Designs the jobs of all the positions with specific description and
specification with the aid of concerned departmental head and
management.
b. Set up the performance standard for individual job.
c. Develops a performance appraisal system appropriate for the hospital.
d. Installs the system along with concerned management.
e. Reviews the findings from staff development perspectives.
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a. Designs two way communication in own department and at the same time
encourages the whole organization to follow the system.
b. Eliminates the cost of bureaucracy to a minimum level to facilitate
effective communication channel.
c. Develops the system to utilize the result of communication in a productive
way in time.
EMPLOYEE CONTRIBUTION
1. Recognizes the humanitarian issues in every HR decision.
a. Checks for any discriminatory policies to ensure equal employment
opportunities.
b. Analyses the organizational competencies in attracting potential
workforce.
c. Attempts to match AHDs policies with the HR market trend in attracting
competent personnel.
d. Studies the causes of absenteeism, tardiness, turnover and other
discouraging factors.
e. Recognizes the motivational factors in favor of acceptable performance.
f. Ensures proper centralization and decentralization of authority in HR as
well as other departments.
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Basic Qualifications:
DGM-HR must have a post graduation qualification in HRM preferably an MBA with
at least 4-5 years of management experience in a hospital of comparable size. He/she
should be able to demonstrate good communication skills, ability to manage
diversified tasks simultaneously and computer literacy.
Physical Abilities
The physical abilities described here are representative of that must be met by an
employee to accomplish the essential responsibilities of the job. However, reasonable
accommodations may be made for the differently able individuals. The incumbent
must be able to use hands, fingers and must have appropriate level of eyesight to work
on spreadsheets. A routine pre-employment medical examination is required.
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Working Conditions
Reference check
Reference check must be carried out with immediate supervisor or previous
employers for confirmation about the honesty and integrity.
Performance Indicators:
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ANALYSIS
1. Strategic Partner
HR must ensure that its practices, processes and policies complement the overall
organizational strategy and develop a capacity to execute that strategy. In these times
of rapid change, HR must minimize the time it takes to implement the strategy.
2. Change Agent
All organizations change. In recent years the rate of change has increased
dramatically, due in part to the organization of the economy and enhancements in
communication. The HR role is to facilitate the change in organizations. This includes
modeling change to other departments, advocating change across the entire
organization, resolving issues that arise from change, and institutionalizing changes
by implementing efficient and flexible processes.
Future Strategy
Processes People
Day to Day
Operation
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3. Administrative Expert
This is the role to which HR dedicates most of the time, and rightfully so. The role
involves HR infrastructure, such as recruiting, hiring, compensating, rewarding and
disciplining, training, record keeping, and terminating and any other process that
involves people. HR must ensure that these processes are efficient and optimized,
which requires tracking, monitoring, and continuously improving.
4. Employee Contribution
This too is a traditional HR role. To be employee contributor, HR must know the
employees well and spend time meeting with and listening to employees. HR must
promote communication, which can include employee surveys, employee suggestion
programs, all-employee meetings, on-going communication of business status, and
any other program that can make employees feel part of the team and dedicated to
customer service. This role also includes ensured that employees who are having
problems get a fair hearing.
The skill set required in this position are more elaborately depicts the needed intensity
and depth required in this position.
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6.2.2 EXECUTIVE
JOB SPECIFICATION
JOB SUMMARY
The incumbent is responsible for the coordination of job analysis process,
performance management, recognition and reward scheme management, disciplinary
actions, and facilitation of employee relations under the supervision of General
Manager Human Resources.
1. Conducts job analysis and updates the employee job description as and when
necessary.
a. Carryout job analysis process methodically and develops job description and
specifications.
b. Facilitates performance indicators to the staff category employees.
c. Collects inputs from the appraisal process and other sources to update the job
descriptions and specifications periodically
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BASIC QUALIFICATIONS
Masters in Social Sciences with at least 3years experience in HR related job or in
Administration
MBA with major in Human Resources Management from a reputed institute like
IBA/NSU, For an MBA experience is not essential.
REQUIRED KNOWLEDGE
A clear understanding about formal Human Resources Management
A clear understanding of HR policies and procedures commonly practiced in
organization
Thorough knowledge on Participatory Performance Management process and Equal
Opportunity Employment philosophy and practices
Basic knowledge regarding Labor Law in Bangladesh
REQUIRED SKILLS
An advanced level user of spreadsheet along with other Microsoft office tools
necessary arithmetical skills along with necessary IT skills
Experience or training on any commercial Administration or Human Resources
Management Software is preferable.
Experience or training on any HR Planning courses is highly preferable.
Ability to conduct both small-scale qualitative and quantitative research
An advanced level of Business Communication skills
Communication skills in English and Bangla
PHYSICAL ABILITIES
The physical abilities described here are representative of that must be met by an
employee to accomplish the essential responsibilities of the job. However, reasonable
accommodations may be made for the differently able individuals. The incumbent
must be able to use hands, fingers and must have appropriate level of eyesight to work
on spreadsheets. A routine pre-employment medical examination is required.
WORKING CONDITIONS
REFERENCE CHECK
For the experienced applicants reference check must be carried out with immediate
supervisor for confirmation about the honesty and integrity. For a fresh graduate at
least two respectable persons must provide a testimonial for the incumbents.
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PERFORMANCE INDICATORS
Job designs are prepared according to the latest change in jobs responsibilities.
Performance Appraisal systems are forwarded to concerned management with
required explanation and clarification.
Data related to performance assessment are collected and managed in prescribed
interval.
Analysis/Findings/reports are communicated to concerned authority in time.
Work related complaints are identified and addressed in time and in proper
manner.
Grievances are handled according to the merit of grievances and advices are taken
from the supervisors whenever required.
Reinforcements are conferred to employees according to their correspondence
with AHD policies and code of conduct.
Recreational activities are arranged according to the respective budget.
Relevant HR policy compliances are maintained with documentary evidences.
Whistles are blown against any malpractices with regard to Equal Employment
Opportunity
The Job Specification designed above is subject to change time to time according to
the job requirement.
Approved by Date:
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ANALYSIS
This position encompasses a little managerial level job to exercise its responsibility
and authority. This position is given enough discretion to nurture itself for the future
top level position. In most case executive reports to manager or to the departmental
head himself.
Executives job is a mixture of both routine as well as initiative tasks. Now its
supervisors responsibility to draw a clear balance between repetitive and creative
tasks. Executives are to supervise the day to day activities and to jobs of Assistants.
He/she is responsible for carry out the functions mainly designed by the top
management.
In the Job of Senior Executive Employee Relation, we can see this well blending of
both types of tasks. At one extreme he/she is to look after the job analysis process,
data analysis of performance management process. And at other extreme, he/she is to
look after the employee relations activities, which is almost self-driven. Here the
opportunity for the individual career growth is provided along with proper functioning
of departmental regular activities. The executive position must be given enough scope
to accumulate and exercise innovation in workplace.
The required knowledge is also highly job related as to perform the responsibility in a
sound manner he/she must be familiar with the terms and definition of the process
he/she will have to work with. As in this specific position, along with the basic
knowledge of human resources management, /she should know about the performance
management style, currently practiced job analysis method, labor law in Bangladesh
for the betterment of this position.
In required skills part, the incumbent requires specific attributes to fit in that position.
Particularly any sort of training or exposure in related field will be mutually
beneficial. Along with this to be self driven and initiative, the incumbent should have
research capability, some special tailored skill.
In performance indicators set up, I tried to have some measurable indicators of this
initiative tasks. The results are perceived quantitatively. The focus is on to identify
observable behavior, competency based measurement.
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6.2.3 ASSISTANT
JOB SPECIFICATION
JOB SUMMARY
The incumbent is responsible for time office regulation, duty roster maintenance and
accounting opening procedures.
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BASIC QUALIFICATIONS
Graduate in any fields with 1years experience in Time Office regulation or any other
similar jobs
REQUIRED KNOWLEDGE
A clear understanding about formal Duty Roster Preparation
A clear conception of Bank Account opening procedures
REQUIRED SKILLS
An advanced level user of spreadsheet along with other Microsoft office tools
necessary arithmetical skills
Communication skills in English and Bangla
PHYSICAL ABILITIES
The physical abilities described here are representative of that must be met by an
employee to accomplish the essential responsibilities of the job. However, reasonable
accommodations may be made for the differently able individuals. A routine pre-
employment medical examination is required.
WORKING CONDITIONS
REFERENCE CHECK
For the experienced applicants reference check must be carried out with immediate
supervisor for confirmation about the honesty and integrity. For a fresh graduate at
least two respectable persons must provide a testimonial for the incumbents.
Performance Indicators
Error free Duty Roster is prepared reflecting the demand from each department.
Bank accounts are opened with proper process and without any time lag.
Supporting documents are collected, reviewed and updated in HMS to satisfy the
policies of AHD.
Employees as well as other external clients are communicated timely with all of
the necessary information.
Errors are treated with the merit of errors and advices are taken from the
supervisors as deemed appropriate.
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The Job Specification designed above is subject to change time to time according to
the job requirement.
Approved by Date:
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ANALYSIS
In the Job Specification of the position of Time Office Assistant I can observe some
clear difference with that of Executive position
Now the proper functioning of assistant level position becomes the responsibility of
executive level position holder.
The job is almost routine in nature with little option for discretion. The assistant is to
carry on the routine task properly.
The numbers of tasks as well as the subtasks are also diminishing as compared to that
of executive. Here again these tasks are more and more routine. They are as the name
implies is to assist the main and core job of the department.
In job profile formulation, I mentioned minimum experience. I can accept any fresher
in this position with an average academic background. Here as the job of Time Office
Assistant is to supplement the Duty Roaster and Compensation Management, itll be
better if the department has a science graduate for this position.
Again as the duty roaster and other related functions are based upon software an
intermediate level of computer skill is essential. We have to remember that for any
assistant level job, the level of required computer literacy should be fixed according to
the actual requirement of the job.
The designing of performance indicators are relatively easy as the maximum of the
tasks are repetitive in nature. It involves no of errors, rapidness in service, maintaining
of supporting documents which are more or less similar to that of other assistant level
position.
I use action verbs to designing this job specification. I tried to focus on observable
behavior through out this Job Analysis.
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CHAPTER 7
PERFORMANCE APPRAISAL FORMAT
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Employees Name:
Employee ID:
Position Title:
Section/Department:
Name of Supervisor:
Designation:
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1. Job Summary
List the major job responsibilities of the employee on the basis of present job
description. This should not be more than one paragraph.
PO 1:
PO 2:
PO 3:
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PO 4:
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Interim Review
At least one interim progress review must be conducted no later than 6 months
into the 12-month PPR cycle. For probationary employee the frequency would
be decided as per the Probation Period Policy of AHD.
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3. Supervisor's Observations:
Supervisor should focus on achievements against performance objectives,
current skills, competencies and identified development potentials. This
assessment should follow a meeting between the supervisor and employee.
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The employee should be rated by the supervisor for the essential competencies
demonstrated by the employee during this performance cycle. Rating should
be done in presence of employee and on the basis of following scale:
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Overall recommendations
[The supervisor needs to recommend for percentage of annual increment/no
increment/confirmation of probation/extension of probation/promotion or
other relevant performance related decisions.]
When complete, please make copies for your office file and the employee and send
the original to the Office of Human Resources for preserving in employee file.
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CHAPTER 8
TRAINING MANUAL ON PERFORMANCE APPRAISAL SYSTEM
TRAINING MANUAL
ON
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Learning Objectives
After completion of this training program, participants will be able to:
1. Define the structure of the prescribed Performance Appraisal system in respect
of their overall departmental functions.
2. Explain the Performance Appraisal system to the employees of respective
department.
3. Exercise the prescribed Performance Appraisal system with respect to their
department.
4. Assist the employees with performance feedback through an evaluative
interview.
Total Hours
Two Hours
Methodology
Lecture
Group Discussion
Question-Answer session
Facilitators
HOD, Human Resources Department
Training Manager, Human Resources Department
Participants
HOD and Mid-level managers of all non-medical departments.
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Training Evaluation
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OBJECTIVES
On completion of the session, participants will be able to:
Identify the elements of performance appraisal system on the basis of their respective
departments
Define the psychological errors that take place in performance appraisal process.
Evaluate the performances appraised and provide necessary feedback.
METHODS
Lecturette, Question and Answer, Visual aid, Hand out
MATERIALS
Handout
DURATION
60 minutes
GROUP SIZE
A maximum of 24 participants
PHYSICAL FACILITIES
A room large enough to accommodate twenty four participants in a sitting
arrangement so that they can see and interact with each other as well as with the
facilitator
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LEARNING ACTIVITIES
Introduction
Facilitator will describe the overall learning objectives of this training as described in
the training curriculum. Alongside he/she will receive any feedback from the
participants.
Learning objective
Identify the elements of performance appraisal system on the basis of their respective
departments
Duration: 10minutes
Learning Activities
The facilitator will ask for the previous experience of participants in Performance
Appraisal system. The experiences can be of as the Appraisers as well as Apraisees.
He/she will carry on the session by discussing what the participants think would be
the basic performance standard for the employees of their departments. They can give
their idea on performance measurement. Facilitator along with the participants will
discuss the pros and cons of subjective judgment and objective judgment. The
purpose of this discussion is to reach a final agreement about the use of Objective
scale. And the facilitator should guide the dialogue in that direction.
Visual Aids
White board and makers (three different colors) to write down the general findings of
question-answer session
The facilitator can also draw the flow diagram of basic performance appraisal system
Power point presentation with the Flow chart on Performance Appraisal process
session, example of different measurement approaches and measurement scales
Hand outs on the theory of Performance Appraisal System with main focus on
performance measurement approaches. The write ups are to be distributed at the end
of the session. But the participants should be informed about the provision of
handouts so that they wont be busy during the session in taking notes.
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Learning objective
Define the psychological errors that take place in performance appraisal process.
Duration: 13 minutes
Learning Activities
He/she will continue the session by asking about the problems or discrimination they
faced in Appraisal process. The discussion will gradually come across with common
psychological errors which are observed in Performance Appraisal System. He/she
then will invite the participants to suggest remedies in eliminating the discrepancies in
Appraisal system. In this session the facilitator and participants will share their
experiences, stories relevant to the subject
Visual Aids
White Board and markers of different color to write down the general finding of the
Question and Answer session
Power point presentation with name the psychological errors in different slide
supported by relevant cartoons
Hand outs on the theory of psychological errors and their common remedies. The
write ups are to be distributed at the end of the session. But the participants should be
informed about the provision of handouts so that they wont be busy during the
session in taking notes.
Learning objective
Evaluate the performances appraised and provide necessary feedback.
Duration: 13 minutes
Learning Activities
The facilitator will then carry on dialogue regarding practical application of a
Performance Appraisal System. The focus will be on frequency of employing the
Appraisal system, the assessment process, the employee feedback and the aftermath
(placement and training decision) of Performance Appraisal system. The Facilitator
will relate the teaching according to the prescribed Performance Appraisal format to
be introduced in next session.
Visual Aids
White Board and markers of different color to write down the general finding of the
Question and Answer session
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Hand outs on the performance appraisal form. The write ups are to be distributed at
the end of the session. But the participants should be informed about the provision of
handouts so that they wont be busy during the session in taking notes.
Learning Summarization
Summarize the learning of this session.
Duration: 5minutes
Learning Activities
The facilitator will sum up the session with major learning objectives achieved in this
session. He/she will ask the participants about their learning in this session. If the
session goes well their responses will correlate with the learning objectives identified
previously for this session. He/she will also tell about the abstract of this session.
Visual Aids
White Board and markers of different color to write down the general finding of the
Question and Answer session
Power point presentation with the list of learning objectives in this session
Learning Evaluation
Evaluate the learning of the participants in Session 1.
Duration: 10minutes
Learning Activities
In this final part of the session the facilitator will evaluate the system. He/she can give
a small case on the topic of setting performance standard for their own position or any
other position in their own department. Or they can be given the performance standard
of a particular position (such as Secretary, which is almost familiar to all of the
participants) and asked to design the measurement approach. Along side they are to
given a small test to evaluate their learning of the remedies of psychological errors.
Visual Aids
White sheets with attached questions
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Facilitation Evaluation
Duration: 4minutes
Learning Activities
In this final part of the session the facilitator will evaluate his/her performance by the
participants. He/she will circulate the evaluation sheet to all of the participants. The
sheet will contain Multiple Choice Questionnaire. The sheet will cover all aspect of
the session and have provision for the individual evaluation of the two sessions.
Visual Aids
White sheets with attached questionnaire
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OBJECTIVES
On completion of the session, participants will be able to:
Learn about the Performance Appraisal Format to be introduced in AHD
Assess the applicability and reliability of the format through a focus group discussion
Provide significant feedbacks to improve the content of the format
METHODS
Lectures, Discussion, Focus Group Discussion, Reading and Questions & Answers
MATERIALS
Handout
DURATION
60 minutes
GROUP SIZE
A maximum of 24 participants
PHYSICAL FACILITIES
A room large enough to accommodate twenty four participants in a sitting
arrangement so that they can see and interact with each other as well as with the
facilitator
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LEARNING ACTIVITIES
Learning Objective
Learn about the Performance appraisal format to be introduced in AHD.
Duration: 25 minutes
Learning Activities
In this session facilitator will introduce the designed performance appraisal system.
He/she will explain each section of the form. He/she will brief them about the Job
Summary, Performance Objective (PO) and standards for different grades of
employees, employment development plan, core competencies, and grading system.
The facilitator will design the discussion in a participatory style. He/she will ask for
any other more suitable explanation regarding this topic. He/she will discuss about the
installation of PO on the basis of observable behavior. He/she will clarify the
difference of core competency expected from each position and the PO and standard
expected from each position. Then he/she will allow them to go through the form for
10 minutes for the focus group discussion.
Visual Aids
White board and makers (three different colors) to write down the general findings of
question-answer session
Power point display on the major area of appraisal form such as, Job Summary, PO
and so on
Copy of Performance Appraisal form to each participant
Learning Objective
Assess the applicability and reliability of the format through a focus group discussion
Duration: 25 minutes
Learning Activities
In this part of the session the facilitator will arrange for a focus group discussion
regarding the suitability of the Appraisal format. The facilitator will start discussion
about the pros and cons of the appraisal form. This will be a participatory discussion.
The facilitator will ask for the participants opinions regarding the applicability of the
form. He/she will lead the discussion in such a way so that the participants can share
their experience on this topic candidly. The discussion will be unstructured (or loosely
structured), and the facilitator will encourage the free flow of ideas. He/she will make
the participants talk about the disadvantages they are likely to experience in
implementing this form. He/she will discuss about the alterations needed in the form.
He/she will note down the consented suggestions of every participant.
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Visual Aids
White board and makers (three different colors) to write down the consented
suggestions obtained in Focus Group Discussion
Learning Summarization
Summarize the learning of this session.
Duration: 6minutes
Learning Activities
The facilitator will sum up the session with major learning objectives achieved in this
session. He/she will ask the participants about their learning in this session. If the
session goes well their responses will correlate with the learning objectives identified
previously for this session. He/she will also tell about the abstract of this session. The
abstract will depict the plan of modifications in the form if any.
Visual Aids
White Board and markers of different color to write down the general finding of the
session
Facilitation Evaluation
Duration: 4minutes
Learning Activities
In this final part of the session the facilitator will evaluate his/her performance by the
participants. He/she will circulate the evaluation sheet to all of the participants. The
sheet will contain Multiple Choice Questionnaire. The sheet will cover all aspect of
the session and have provision for the individual evaluation of the two sessions.
Visual Aids
White sheets with attached questionnaire
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RECOMMENDATION
A detailed job creation and identification should be done in top managerial level
and then it should be communicated to the respective implementer.
The tasks should be got rid from repetitiveness.
An attempt should be made on implementing competency based job analysis
process.
The jobs should be designed according to the requirements of the organization,
not according to the current status of that particular incumbent.
The skill set should be the minimum what is required for the proper functioning of
the position.
A detailed job designing methodology needs to be done with the involvement of
the supervisor as well as the incumbents.
An easy to implement Performance appraisal format should be followed.
Prior to the performance appraisal implementation the performance indicators
should be set up and communicated to the respective supervisors and the
incumbents.
The appraisers training should be more real life oriented.
Remedy from psychological errors in appraisal procedure should be addressed in
due manner.
In near future there should be a provision for appraisees training also.
The mid level manager should have training on task identification also.
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CONCLUSION
In summary, the above research tells us that, in order to define a job, it is not enough
to look at subjective mannered description. The concept of competency based HR
model has many dimensions, some of which are difficult to practice at this stage, but
no less essential to its definition. The study identifies that apart from the HR
department the whole organization is responsible to set up the prescribed practice. It
is highly appreciable what the HR department has done so far. But there is unlimited
scope of development which is still remained untouched. We will need to attain that
extent of progression, pave the way of further development. We can then incorporate
these components into a more comprehensive service quality measurement plan in
health care.
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REFERENCES
JOURNAL ARTICLE
1. Plan Bangladesh, Organizational Assessment, 2005
BOOK
1. Green C. Paul, Building Robust Competency, HR Folks International
2. Morgan Gareth, Images of Organization, 2nd edition, SAGE publication,
California, USA>
OFFICIAL REPORT
1. Apollo Hospital Enterprise Limited 2004, Human Resources Manual for Apollo
Hospitals Dhaka, Chennai, India
2. Aus Guide Line 2005, The Logical Framework Approach, Australian Government
Press, Australia.
WEBSITES
1. www.apollodhaka.com
2. www.apollogroup.com
3. Health care bd\Bangladesh - Health Care Facilities1.htm
4. www.cbmkau.org
5. www.natpact.nhs.uk
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APPENDICES
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