A Self-Assessment Guide for Health Care Organizations - IFC

After the
Self-Assessment
Next Steps
STEP 4: Score Performance
and Identify Gaps
After completing the assessment, the team should calculate the scores
and review the findings. The aim of this exercise is to identify the gaps
toward meeting the standards in order to make improvements and
take corrective actions. The process for doing this is described below.
The responses for each standard are summed to determine the level of
achievement, as follows:
1. Enter the scores for each question/element in the
Self-Assessment Template on the following pages.
The Scoring Key is:
0 = the organization does not meet the criterion
5 = yes, some elements are in place, but
the criterion is not fully satisfied
10 = yes, the criterion is fully satisfied
2. Add the 0, 5 and 10 scores for all of the measurable
elements.
3. Determine overall achievement by adding together
the scores for all the standards and dividing by 1,600*
(the total score possible).
* Note - The Highest Possible Score will be less if there are standards that
are not applicable (e.g. IVF, organ transplantation). Subtract 10 from the
Highest Possible Score for each element that is not applicable.
The reason that the following score-tables have a “Baseline Score”
column along with additional Score columns is to allow progress to
be tracked over time, i.e. as future assessments are undertaken.
76 IFC Self-Assessment Guide for Health Care Organizations