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Food-Service-Manual-for-Health-Care-Institutions

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A number of methods can be used to check competence, including<br />

• Checklist<br />

• Demonstrations<br />

• Observations<br />

• Training records<br />

• Audits<br />

• Peer reviews<br />

• Patient surveys<br />

• Formal assessment<br />

• Quality improvement and problem-solving issues<br />

• Self-assessment using objective criteria<br />

• Assessment against measurable per<strong>for</strong>mance standards<br />

• Evaluation on agreed-on objectives <strong>for</strong> per<strong>for</strong>mance<br />

• Counseling records<br />

• Pretesting and posttesting <strong>for</strong> in-service training<br />

• Level of participation in mandated in-service sessions and committee or team activities<br />

(The JCAHO Resources has published a book entitled Assessing Hospital Competence that can<br />

be used as a guide toward compliance with one of the major human resource standards.)<br />

Coaching <strong>for</strong> Peak Per<strong>for</strong>mance<br />

In addition to the regular written and verbal employee reviews, managers should make in<strong>for</strong>mal,<br />

day-to-day observations of employee per<strong>for</strong>mance, accomplishments, or problems. Unlike<br />

per<strong>for</strong>mance reviews, which are retrospective and infrequent, coaching requires concurrent<br />

ongoing per<strong>for</strong>mance monitoring and feedback <strong>for</strong> improvement. Regular feedback, or coaching,<br />

is basic to effective employee management and can prevent minor work-related problems<br />

from becoming major per<strong>for</strong>mance problems.<br />

A positive approach to per<strong>for</strong>mance improvement, coaching provides individualized direction,<br />

in<strong>for</strong>mation, and support on a daily basis. As a “per<strong>for</strong>mance coach,” the manager is<br />

committed to the employee’s development and to helping the employee reach full potential. A<br />

participative management style fosters a constructive environment in which coaching can be<br />

used to improve individual, team, and department per<strong>for</strong>mance. An effective manager provides<br />

both opportunity <strong>for</strong> employees to become involved and the necessary learning through per<strong>for</strong>mance<br />

coaching. Effective coaching helps people trust their instincts and take responsibility<br />

<strong>for</strong> the organization’s success.<br />

The first step in per<strong>for</strong>mance coaching is to diagnose per<strong>for</strong>mance deficiencies and their<br />

causes. Per<strong>for</strong>mance gaps exist when employees are not meeting goals, standards, or expectations<br />

agreed on with their manager. To identify per<strong>for</strong>mance deficiencies, employees must be<br />

observed over time. A number of causes may contribute to less-than-satisfactory per<strong>for</strong>mance.<br />

Some of these are<br />

• Poor orientation and in-service training<br />

• Lack of ability or knowledge to accomplish assigned tasks<br />

• Lack of interest in doing the job<br />

• Absence of opportunity to grow and advance that creates feelings of helplessness in the<br />

employee<br />

• Lack of clearly defined departmental goals<br />

• Employee uncertainty about what is expected of him or her<br />

• Absence of feedback on how well the employee is per<strong>for</strong>ming<br />

• No rewards <strong>for</strong> high per<strong>for</strong>mance<br />

Human Resource Management<br />

229

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