University of the Philippines UP SPMS Form 1

S.2014
PHILIPPINE GENERAL HOSPITAL

a.
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I, Rosalio C. Beringuel, Utility Worker at 6RCB1 of the PGH Department of Pay Patient Services, commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures
for the period Jan 01, 2017 to June 30 2017.

QET Rating Scale Rosalio C. Beringuel

Poor (50% and below) 1 Ratee
Date:____________________________
Unsatisfactory (51%-99%) 2
__
Satisfactory (100%-114%) 3
Very Satisfactory (115%-129%) 4
Outstanding (130% and above) 5

b. Reviewed by: Date c. Approved By: Date

Alona F. Sacayanan 06/09/17 Clarita P. Paragas 06/09/17

Immediate Supervisor Chief Nurse/Supervisor

Function Name Success Indicator Actual Accomplishments % Distribution Rating Ave Remarks
Targets (T) + Measures (M) Score
(b) (f) (g)

(c) Q 1
E
2
T
3
A4 (l=g x k)
(m)

(
j
(h) (i) ) (k = ave of h,i,j)

Strategic Functions:
Integration of public service and Hospital services Performed hospital services of 90% of the 10 5 5 0.5
communication program T: 90% clients who rated the hospital services as
M: Percentage of clients who rate the satisfactory or better
hospital services as satisfactory or
better
Core Functions:

Streamlining of university processes Improvement and intervention in HR Implemented <80% compliance in 15 2 2 0.3
processes monitoring of provision of rational nursing
T: 100% staffing compliment for 24 hours in the
M: Percentage of compliance in unit
provision of rational nursing staffing
compliment for 24 hours in all clinical
areas
Quality assurance Competency enhancement Participated in 80% of teaching/ learning 5 5 5 0.25
T: 100% activities within the rating period
M: Percentage of nursing personnel
who had undertaken activities to
develop and enhance their
competency
Integration of public service and Quality nursing care services Assisted in facilitation of the peri- 20 5 5 1
communication program T: 100% operative needs for 100% of patients for
M: Percentage of compliance to emergency/ elective surgeries within the
facilitating/ assisting peri-operative prescribed time
needs of patients for emergency /
elective surgeries
Integration of Public Service and Quality Nursing care services Performed the implementation/ provision 20 5 5 5 5 1
Communication Program T: 100% of quality nursing care of 100% of
M: Percentage of compliance to admitted patients
implementation of delegated quality
nursing care of admitted patients.
Legend: 1 - Quality 2 - Efficiency 3 - Timeliness 4 - Average
 University of the Philippines UP SPMS Form 1
S.2014
PHILIPPINE GENERAL HOSPITAL

Integration of Public Service and Quality Nursing care services Performed implementation of hospital 20 5 5 5 1
Communication Program T: 100% infection control measures/ guidelines to
M: Percentage compliance to 100% of all patients
monitoring and implementation of
hospital infection control
measures/guidelines of all patients
Support Functions:

Linkage with government regulatory
agencies
Linkage with government regulatory
agencies
o. Final Average Rating: 4.55
p. Comments and Recommendations for Development Purposes (please use UP SPMS Form No. 5 for Staff Development Plans)
Compliance with other requirements
and regulations
T: 100%
M: Self assessment QMS
certification/s or Agency's Operations
Manual covering selected core
processes or area of operations
Compliance with other requirements
and regulations
T: 100%
M: Percentage of compliance to good
governance conditions of EO No. 80
S. 2012 (e.g. transparency seal
requirements maintained/updated)
Implemented 100% compliance to self 5 5 5 0.25
assessment QMS certification/s or
Agency’s Operations Manual covering
selected core processes or area of
operations
Implemented 100% compliance to good 5 5 5 0.25
governance conditions of EO No. 80 S.
2012
Adjectival Rating: Outstanding

q. Discussed with Date r. Assessed by: Date s. Final Rating by: Date
I certify that I discussed my assessment of the performance with the employee

07/26/17 Alona F. Sacayanan 07/27/17 Clarita P. Paragas 07/27/17

Rosalio C. Beringuel
Name and Signature of Employee Supervisor Head of Office

Overall Rating Scale

NUM 4.51-5.00 3.51-4.50 2.51-3.50 1.51-2.50 .51-1.50
ADJ O VS S U P

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