CITY GOVERNMENT OF PARAÑAQUE

Strategic Performance Management System (SPMS)

INDIVIDUAL Performance Commitment and Review (IPCR)

I, ___________________________RN, ___NURSE _ of the (CITY HEALTH OFFICE), commit to deliver and agree to be rated on the attainment of the following
targets in accordance with the indicated measures for the period _______________to ______________, 2018.
5 – Outstanding
_____________________________________Sign
4 – Very Satisfactory ature

Date: _____________________________
RATING SCALE 3 – Satisfactory

2 – Unsatisfactory

1 – Poor

Recommending Approval Date Approved by Date

MFO (Major Final Output)/Programs, Rating
Activities and Projects SUCCESS INDICATORS (TARGETS + Actual Accomplishments 1 Remarks
MEASURES) Q E2 T3 A4
Core Mandated Functions

Child Health Services: 100% of Children 0-59 months 5 3 1 5 1 5 4 3 2 1

Immunization brought in (accompanied by served w/in
parents/legal guardians) for 5 Complete ITR 5 100% 5 ___ mins or less
immunization and Data without error 1 <99% 4 ___ mins
cleared/deemed healthy to 3 Complete ITR 3 ___ mins
data with minor 2 ___ mins
receive vaccines, given available
errors 1 ___ mins or
and appropriate immunization beyond
1 Incomplete ITR
within ___ mins upon admission Data

5 3 1 5 3 1
(N/A IF NO DEFAULTERS)
5 Complete report 5 >2:1 or No Not Applicable
Immunization Defaulter follow- and accounting of Defaulters
up/tracing activities conducted vs defaulters with 3 1:1
disposition on
# of Defaulters Identified (1:1) master list
1 1:0
within the rating period 3 Complete report of
TARGET: 1:1 defaulters master
list submitted
1 Incomplete report
of defaulters
AFHRS/Medical 5 4 3 2 1 5 1 5 4 3 2 1
Consultations/Primary Health 100% of Patients who came Client Satisfaction Survey served w/in
Care (PHC) 5 Excellent 5 100% 5 ___ mins or less
in/referred for Primary Health 4 Very Satisfactory 1 99% and 4 ___ mins
Care, seen and properly 3 Satisfactory below 3 ___ mins
attended within ____ mins upon 2 Fair 2 ___ mins
admission 1 Needs 1 ___ mins or beyond
Improvement

Disease Prevention and Control: 5 3 1 5 3 1

TB Control (N/A IF NO DEFAULTERS)
# TB Defaulter follow-up/tracing 5 Complete report 5 >2:1 or No Not Applicable
and accounting of Defaulters
activities conducted vs # of defaulters with 3 1:1
Defaulters Identified (1:1) within disposition on
1 1:0
the rating period master list
3 Complete report of
defaulters master
TARGET: 1:1 list submitted
1 Incomplete report
of defaulters

NCD Prevention and Control: 5 3 1 5 4 3 2 1

NCD Risk Assessment # Clients risk assessed within 5 Complete Data on NCD 5 >130% Not Applicable
Risk Assessment Forms
the rating period with no errors 4 115-129%
3 Complete Data on NCD 3 100-114%
TARGET: # Risk Assessment Form 2 51-99%
with minor errors
1 Incomplete and Major 1 <50%
Errors of Data on NCD
Risk Assessment Forms
# NCD Awareness/Healthy
NCD Health Education Lifestyle advocacy activities 5 4 3 2 1 5 4 3 2 1
and Promotion conducted within the rating
With at least #-# average 5 >130%
period
number of participants Not Applicable
4 115-129%
TARGET: # 5 #-# participants
with pictures
3 100-114%
AND post activity 2 51-99%
report 1 <50%
4 #-# participants
with pictures or
Post-activity
report
3 #-# participants
with pictures or
Post activity
 report

2 #-# participants
1 #-# participants

Reporting 5 4 3 2 1 5 1 5 4 3 2 1

5 Approved with 5 100% 5 >3 days before the

no revision (1st 1 99% and deadline
submission) or below 4 1-2 days before the
minor revision deadline
only (1st 3 On the day of
submission) deadline
2 1-2 days after the
4 Approved with deadline
100% of Monthly reports minor revisions 1 >3 days after the
submitted to CESU, approved on only deadline
the 1st submission, every 5th day (2nd submission)
of the succeeding month during 3 Approved with
the rating period major revisions
(1st submission)
2 approved with
major revision
(2nd – 3rd
submission)
1 Approved with
major revisions
(4th submission) /
complete rehash
or not approved
at all

Recording 5 3 1 5 1 Not Applicable

5 Complete Data 5 100%

100% of ITRs recorded/updated without errors 1 99% and below
in TCL daily, and without error 3 Complete Data
with minor errors
1 Incomplete Data
and/or with major
errors
Cold Chain Management 5 1 5 4 3 2 1 Not Applicable

5 Accurate 5 100%
temperature 4 95-99%
reading logged or 3 85-94%
Necessary and 2 70-84%
appropriate
100% of temperature monitoring
1 <69%
actions done to
log entries updated 2x a day preserve viability
within the span of the rating of vaccines as
period needed
1 Inaccurate
temperature
reading logged or
no action taken to
preserve viability
of vaccines when
needed

Coordination of special 5 3 1 5 4 3 2 1 Not Applicable

events/projects/operations/them
atic campaigns 5 Participant’s list of 5 >130%
attendance with 4 115-129%
# of special pictures AND post
events/projects/operations/them
3 100-114%
activity report 2 51-99%
atic campaigns initiated or 3 Participant’s list of
coordinated by health center 1 <50%
attendance with
pictures OR post
activity report
1 Participant’s list of
attendance

Participation in all Not Applicable 5 4 3 2 1 Not Applicable

events/special
operations/activities and
thematic campaigns of City
Health Office and other agencies
in coordination with CHO
85-94% participation in all
events/special operations/activities
5 100%
and thematic campaigns of City 4 95-99%
Health Office and other agencies in 3 85-94%
coordination with CHO 2 70-84%
1 <70%

Learning and Development Attended at least one (1) Not Applicable 5 1

learning & Dev’t Program/Activity Not Applicable
vs impact Evaluation on return of 5 Attended
invest (ROI) or Learning
 1 Not Attended
Application Plan (LAP) submitted
on set deadline

Program Management 5 4 3 2 1 5 3 1 5 4 3 2 1
submitted
5 approved with no 5 Submitted 5 > 3 days after
revision (1st submission) 1 Did not submit
or
the deadline
minor revision only (1st 4 1-2 days after
submission) the deadline
4 approved with minor 3 On the day of
Drafted 1 Annual Operational Plan revisions only the deadline
(AOP)/Local Investment Plan (LIPH) (2nd submission 2 1-2 days before
3 approved with major the deadline
on the set deadline (1st Quarter of
revisions
the Year) 1 > 3 days before
(1st submission)
approved with major
the deadline
2
revisions (2nd submission
to 3rd submission)
1 approved with major
revisions (4th
submission)
/ complete rehash or not
approved at all

Project Proposals 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1
submitted
5 approved with no 5 100% 5 > 3 days after the
revision (1st submission)
or
4 90-99% deadline
minor revision only (1st 3 80-89% 4 1-2 days after the
submission) 2 70-79% deadline
4 approved with minor 1 <69% 3 On the day of the
revisions only deadline
Drafted # / # Project Proposals (2nd submission 2 1-2 days before the
3 approved with major deadline
included in the AOP (1st Quarter of revisions
1 > 3 days before the
the Year) (1st submission)
deadline
2 approved with major
revisions (2nd submission
to 3rd submission)
1 approved with major
revisions (4th
submission)
/ complete rehash or not
approved at all
Annual Accomplishment Report 5 4 3 2 1 5 3 1 5 4 3 2 1
submitted
5 approved with no 5 Submitted 5 > 3 days after the
revision (1st submission) 1 Did not submit
or
deadline
minor revision only (1st 4 1-2 days after the
submission) deadline
4 approved with minor 3 On the day of the
revisions only deadline
Drafted 1 annual accomplishment (2nd submission 2 1-2 days before the
3 approved with major deadline
report, every January
revisions
1 > 3 days before the
(1st submission)
approved with major
deadline
2
revisions (2nd submission
to 3rd submission)
1 approved with major
revisions (4th
submission)
/ complete rehash or not
approved at all

Monitoring and Evaluation Visit 5 3 1 5 4 3 2 1 Not Applicable

5 With pictures AND post- 5 15-16

Facilitated Monitoring and activity report
4 12-14
Evaluation Visits on 9/16 Health 3 With post-activity report
ONLY 3 9-11
Centers 2
1 No post-activity report 7-8
submitted 1 <7

Attendance/Tardiness/Presence 5 1 5 4 3 2 1 5 4 3 2 1
in the workplace PRESENT PUNCTUAL
5 Accounted for 5 100% 5 100%
and in complete 4 95-99% 4 95-99%
uniform with no 3 85-94% 3 85-94%
85-94% Present/accounted for validated 2 70-84% 2 70-84%
and punctual incidence of 1 <70% 1 <70%
loafing
1 Unaccounted for
or with validated
incidence of
loafing

Total Overall Rating

Final Average Rating
Adjectival Rating
Assessed by: Date Reviewed by: Date Final Rating by: Date:
I Certified that I discussed my assessment of the
performance with the employee.

HON. EDWIN L. OLIVAREZ

Employee Medical Officer Department Head
Legend: 1 – Quality 2 – Efficiency 3 – Timeliness 4 – Average