Perform Ace Appraisal System at Lialvati Hospital & Research Centre by Abhijeet Gawankar_HR

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    A PROJECT REPORT

    ON

    PERFORMANCE APPRAISAL SYSTEM

    AT

    LILAVATI HOSPITAL & RESEARCH CENTRE

    IN PARTIAL FULFILLMENT OF

    MASTERS DEGREE IN BUSINESS ADMINISTRATION

    SUBMITTED TO

    UNIVERSITY OF PUNE

    BY

    MR. ABHIJEET S. GAWANKAR

    SUMMER TRAINEE

    M B A -II

    (2004-2006)

    VISHWAKARMA INSTITUTE OF MANAGEMENT

    PUNE.

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    INDEX

    Chapter

    No.Chapter Name Page no.

    1 Executive summary 1

    2 Introduction of subject 2

    3 History & Profile of hospital 7

    4 Objective of Project 12

    5 Research methodology used in project 13

    6

    6.1

    6.2

    6.3

    6.4

    6.5

    Performance appraisal system in Lilavati

    Hospital

    HRD systems in Lilavati

    Present system of performance appraisal in

    Lilavati

    Introduction of performance appraisal in Lilavati

    hospital

    Training programme for performance appraisal

    Analysis & interpretation of data

    16

    19

    20

    21

    36

    7 Observations & Findings 60

    8 Conclusion & Suggestions 61

    9 Annexure

    Annexure 1

    Annexure 2

    Annexure 3

    65

    68

    68

    10 Bibliography 69

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    ACKNOWLEDGEMENT

    It s a great privilege that I have done my project in such a well organized

    and diversified organization. I am grateful to all those who helped and supported

    me in completing the project.

    First and foremost I would like to thank Dr. Narendra Trivedi (Vice

    President) And Mr. D. P. Yadav (General Manager HRD) for giving me an

    opportunity to work as a summer trainee in Lilavati hospital & research centre

    and thereby fulfilling the requirement of our MBA course.

    I would also like to extend my thanks to Mr. Dinesh Bandarkar (Jr. Officer

    HRD) and all the staff of HRD department for their help in gathering relevant data

    needed for the project work.

    I am also thankful to our director, Dr. Sharad Joshi and my project guide Dr. Mrs.

    Vandana Gote and Prof. Gandhe for helping me in completing the project.

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    TO WHOMSOEVER IT MAY CONCERN

    This is to certify that Mr. Abhijeet S. Gawankar is bonafide student of our

    institute. He has successfully carried out his Summer Project titled Performance

    Appraisal System At Lilavati Hospital & Research Centre, Mumbai.

    This is the original study of Mr. Abhijeet S. Gawankar, and important sources

    used by him have been acknowledged in his report. The report is submitted in

    the partial fulfillment of two-tear full time course Master In Business

    Administration (2004-2006) as per the rules of the Pune University.

    Dr. Sharad L. Joshi Dr. Mrs. Vandana Gote

    (Director) (Project Guide)

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    EXECUTIVE SUMMARY

    Lilavati hospital & research centre is very well known hospital in Mumbai &

    in India also with its excellent research facilities & world famous researchers.

    This project is titled as performance appraisal system at Lilavati hospital & tries

    to find out the different aspects of performance appraisal in the hospital.

    Different officials working in the HRD department have provided very

    important data in this respect. Formal & informal interviews as well as the

    research (through questionnaire) are the basic methods of data collection used in

    this project work. Also secondary data provided by the hospital officials is of

    immense importance. Every effort has been made to understand the long term

    plans of hospitals for implementing performance appraisal program.

    As the hospital is a service industry; the employees serving in the hospital

    are the most important elements & that is why performance appraisal becomes

    very important in the long run. Taking into consideration this aspect, the

    performance appraisal program currently being carried out is been observed.

    Also the training given to employees is studied & suggestions have been

    suggested to improve quality & implementation of performance appraisal

    program.

    From this project work; hospital officials will get new insights about

    performance appraisal program & I have also acquired the knowledge of how the

    performance appraisal program is carried out in hospitals.

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    INTRODUCTION OF SUBJECT

    Performance Appraisal:

    In the fast changing trend towards globalization, today many organizations

    are striving hard to modernize themselves. One of the most important hallmarks

    of a modern organization is to have a performance appraisal system.

    Definition:

    Performance appraisal can be defined as A process of evaluating an

    employee s performance on the job in terms of its requirement

    According to Flippo, performance appraisal is A systematic periodic and so far

    as humanly possible. An impartial rating of an employee s excellence in matters

    pertaining to his present job and to his potentialities for a better job.

    According to Dale Yoder, Performance appraisal includes all formal procedures

    used to evaluate personalities and contributions and potentials of group

    members in a working organization. It is a continuous process to secure

    information necessary for making correct and objective decisions on employees.

    Appraisal Procedure Involves:

    1. Setting work standards

    2. Assessing the employee s actual performance relative to these standards

    3. Providing feedback to the employee with the aim of motivating that person

    to eliminate performance deficiencies or to continue to perform above par.

    Performance appraisal is variously known as employee evaluation,

    employee efficiency rating, performance rating, merit rating, employee

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    development program, development report, personnel development

    employee ability rating etc. and they all mean the same thing. It is a

    systematic orderly and objective method of evaluating the present and

    potential usefulness of the employees to the organization.

    Objectives Of Performance Appraisal:

    Performance appraisal essentially helps to identify employees who are

    performing their assigned tasks well and those who are not; and also the reasons

    for such performance.

    The main 5 objectives of Performance appraisal are:

    1. To assist management in promotion, demotion, and transfer problems.

    2. To improve job performance.

    3. To increase analytical abilities of supervisors.

    4. To reveal areas where training is needed.

    5. To prevent grievances.

    The objectives of performance appraisal could be broadly described as:

    i) Judgmental

    ii) Developmental

    Judgmental objectives focus on evaluation;

    - Providing feedback to employees to know where they stand.

    - Developing valid data for administrative decisions concerning placement,

    pay, promotion, punishment, etc.

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    Developmental objectives focus on helping;

    - Diagnosing individual and organizational strengths and weaknesses

    (SWOT analysis).

    - Counseling, coaching, career and succession planning, employee morale

    and motivation.

    - Developing positive superior-subordinate relationships.

    Importance Of Performance Appraisal:

    Performance appraisal data is very useful in human resource development

    in several manners. Ambitious subordinates, who are looking forward to an

    opportunity for advancement, usually welcome an honest appraisal even if it is

    adverse. A promotion minded individual can ask for the target programs of a

    position he seeks and use the information given by performance appraisal to

    prepare himself for the job and enhance his candidacy.

    Performance appraisal if used effectively can help the organization to:

    i) To improve productivity.

    ii) To promote internal control through appropriate feedback and

    corrective actions.

    iii) To diagnose individual and organizational problems.

    iv) To foster positive work culture.

    v) To encourage, recognize and reward achievements

    vi) To seek an all round human resource development.

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    An effective performance appraisal system helps in overall improvement in the

    quality of work life and overall organizational development.

    Need Of Performance Appraisal System In Hospitals:

    Hospital industry is a service industry, where patient (customer) is the

    most important person. So tremendous importance of people element has to be

    given. So all the employees of the hospital has to perform their duties in a better

    way in order to get customer satisfaction. As it is important how advanced

    technology & drugs you use to cure the patient, but it is also very important that

    how you deal with patient & their relatives (i.e. customer). So it is very important

    that how the staff of hospital performs their duties in order to make the patient

    satisfied. If the performance of employees is appraised, then it is very beneficial

    for both the employees and the management to understand the current

    performance level and making improvements in it. Also performance appraisal

    helps to identify training needs so that employees can be trained to enhance their

    performance. Which ultimately leads to customer satisfaction & overall

    organizational development.

    1. It will make lower post employees to understand how they are

    performing & how they will be rewarded.

    2. As the care of patients who are outsiders to the hospitals is

    taken; the care of internal customers i.e. Employees is also

    necessary.

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    3. It gives boost to the employees to perform better in the future.

    4. It can give birth to healthy competition among different levels

    of employees & then they will learn from each other &

    improve.

    5. The total organization effectiveness will be improved & then

    the hospital will be able to compete with other hospitals.

    6. The most important thing is that self-motivation factor will be

    developed among employees & so they try their hand to

    perform & excel in their field.

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    PROFILE OF LILAVATI HOSPITAL & RESEARCH CENTRE

    LILAVATI HOSPITAL

    Lilavati hospital is committed to provide best medical facilities in India. With its

    state-of-the-art research facilities, researchers from all over world would explore

    the future horizons of the bio-medical sciences for effective treatment and care.

    Lilavati Hospital provides an environment where innovation and creative

    enterprise will flourish to establish the highest standards in the Indian Health

    Care system.

    Address: 791, Lilavati Hospital & Research Centre;

    Bandra Reclamation, Bandra (W)

    Mumbai 400 050

    It provides effective super specialty services in the following areas:

    1. Cardiology & Cardiovascular

    2. Chest Medicine

    3. Neurology & Neuro Surgery

    4. Physiotherapy

    5. Nephrology & Kidney Transplant

    6. Orthopedics and Replacement Surgery

    7. Nuclear Medicine & RIA

    8. Cancer Clinic

    9. In Vitro Fertilization (IVF)

    10. All types of Diagnostic Services

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    INSTITUTIONAL MOTTO :

    More Than Health Care Human Care.

    Lilavati Hospital believes in :

    Excellence in Patience service provided in a learning environment with

    dignity compassion and respect.

    Human care extends beyond the curative process and views an individual

    as a holistic entity. The care provided here is not only physiological (medical) but

    also looks after the sociological & psychological needs.

    Lilavati hospital s ultimate objective is for each patient and the family to

    leave our centre with improved physical & mental health and the feeling that the

    hospital exists only for the patient and the patient is always the most important

    person here.

    Motto of HRD Department at Lilavati Hospital :

    Effective Human Relations & Maximum Satisfaction.

    Day Care Surgical Unit :

    It is the first of its kind that brings in new concepts of reduced hospital stay

    and thereby reduced costs.

    Lilavati Hospital provides not only medical treatment but also provides a

    very safe and excellent environment for the patient and also to relatives attending

    the patient. It is one of the best hospital not only in India but comparable with

    many other hospitals elsewhere in the world. This is the reason why Royal

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    College of Surgeons chose Lilavati Hospital to conduct their first FRCS

    Examination outside Edinburgh.

    S A L I E N T F E A T U R E S

    A very spacious hospital with carpet area per bed of around 1100 sq.ft.

    A 300 bedded hospital, which includes 100 Intensive Care beds, with all

    its services.

    Highest Nurse : Patient Ratio of 1:5 due to which we are better equipped

    to handle patient's complex health conditions. This is one of the highest

    nurse patient ratios in India.

    The management comprises of highly qualified professionals, who have

    brought with them rich experience which enables the hospital to be run on

    truly professional lines.

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    A true world class Hospitality service which is a backbone of any world

    class hospital.

    In House Nationalized Bank for easy cash transaction.

    Central Air-conditioning.

    Central Music System.

    Central Paging System.

    Central Fire Detection with interlined Central Sprinkler System.

    Well controlled & safe climate with soothing ambience are special features

    of the hospital.

    100% standby power backup for the hospital with critical areas like

    Operation theatres and ICU further backed up with UPS.

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    Linen and Laundry Services

    A high class Cafeteria at 2nd Floor.

    i. Pharmacy Services around the clock along with a well

    setup 24hrs Chemist Shop.

    ii. Gift Shop

    iii. Prayer Room.

    Ambulance services.

    Fully computerized systemwith high end Application Servers & Backup Servers.

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    OBJECTIVES OF THE PROJECT

    Every project report is carried out with some specific OBJECTIVE in the

    mind. Objective is basically the purpose behind conducting a project and unless

    the objective is certain or specifically defined it is not understood what data has

    to be collected. Objectives of the project are nothing but what is to be learned

    out of this project report.

    Specific objectives of this Project Report

    To understand:

    1. What is the scenario of Performance Appraisal in Lilavati Hospital?

    2. What practices are currently going on in the hospital?

    3. What is the long-term plan of HR dept. for conducting this practice?

    4. What is the attitude of employees towards this program?

    5. What type of training is given to employees for understanding this

    concept?

    6. What suggestions can be given for improving effectiveness of this

    program?

    So in this project report I have made every effort to understand the above

    specified objectives. And this data has been collected using different methods of

    data collection as specified under Research Methodology.

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    RESEARCH METHODOLOGY

    Research methodology is a systematic way of solving the research

    problems. It may be understood as a science of studying how research is done

    scientifically.

    In it we study the various steps that are generally adopted by researchers

    in studying his research problems along with the logic behind them. Researchers

    not only know how to develop certain tests, how to apply particular research

    technique but they need to know which of the methods are relevant and which

    are not. A researcher will always need to understand the assumptions underling

    various techniques and he / she needs to know the criteria by which they can

    decide certain techniques and procedures will be applicable to certain problems.

    So it is very important to understand research methodology before

    proceeding further for collecting any data for a project work.

    As this project explains the performance appraisal system in hospital; it is

    very important to explain what are the sources of data, which is been collected,

    analyzed & presented to come out with useful suggestions & recommendations.

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    Mainly the data has been collected from HRD department of Lilavati

    Hospital. And the persons / entities who provided this primary as well as

    secondary data are:

    i. General Manager

    ii. Junior Officers

    iii. Office Assistants

    iv. Trainer - Prof. Murty

    These personnel are currently working in HRD department

    and the trainer is a person who conducts the performance

    appraisal training programme for employees

    Now the data collected from the above personnel is :

    i) Primary data

    ii) Secondary data

    iii)

    Primary Data:

    Discussions, informal interviews of the above mentioned personnel

    revealed lot much data, which was first hand. This data collection method

    can come out with good quality data & also the non-verbal communication

    here plays important role as the information provider reveals the

    information to you in personal.

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    Secondary Data: This is the data, which is provided by the above-

    mentioned personnel; but the main point of differentiation is about the way

    of delivering the data. This data is already collected & stored by the

    hospital & made available to its employees as well as to the outsiders for

    their official use & with prior permission of the hospital.

    This data is basically about internal HR policies & strategies which

    is been developed & published by hospital itself. Secondary data also

    consists of the data related to performance appraisal from various other

    sources than hospital personnel. These other sources are mainly Internet

    & reference books on HRD.

    So this is the basic research methodology used in this project

    report. The primary & secondary data are both very important because

    they both have their pros & corns. But the proper combination of these two

    types of data can be very useful this project report.

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    CHAPTER 6.1 HUMAN RESOURCE DEVELOPMENT SYSTEMS IN

    LILAVATI HOSPITAL

    POLICIES

    This Human Resources Policies & Procedures Manual Incorporates the

    Hospital s policies and procedures that regulate the employment remuneration

    structure and other service conditions of its employees. However, they are non-

    statutory conditions. It is the responsibility of H.R.D Department to keep this

    Manual updated by incorporating modifications, additions/deletions as and when

    made.

    This is a document compiled for consistent implementation of all employee

    related policies, with a view to ensure clarity and provide a congenial work

    environment.

    The Management reserves the right to withdraw the Manual or make changes in

    it at its sole discretion without assigning any reason thereof, if it considers

    necessary in the interest of the hospital.

    Health Care as one understands is the process of healing on an individual using

    scientific means & methods.

    Human Care extends beyond the curative process and views an individual as a

    holistic entity. The care provided here is not only physiological (medical) but also

    looks after the sociological & psychological needs.

    The hospital is committed to Quality Health Care , which is based on the belief

    that the best possible health care should be provided to the needy members of

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    the society without discrimination, regardless of social, ethnic, religious or

    political affiliations. The quality of health care will compare well with the world

    standard inpatient care and will be provided at a reasonable cost and in

    deserving cases, totally free or at subsidized rates.

    Our ultimate objective is for each patient and the family to leave our centre with

    improved physical and mental health and the feeling that the hospital exists only

    for the patient and the patient is always the most important person here.

    The Human Resource objective consists of the following :-

    1. Building a culture, which would encourage excellence and add to the

    image of the Hospital (both internal & external).

    2. Manpower planning and organization structure.

    3. Recruitment and selection.

    4. Career development and succession planning.

    5. Effective implementation and monitoring of Performance appraisal system.

    6. Rewards and Recognition schemes.

    7. Effective Teamwork & Inter-personal relationships.

    8. Developmental needs analysis, designing & conducting suitable

    programmes.

    9. Employees welfare and quality of work life.

    10. Develop belongingness among employees.

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    STRUCTURE OF HRD DEPARTMENT

    General Manager

    Secretary

    (1)

    Junior Officers Time Office Central Dispatch Attendants

    (2) Office Assistants Office Assistants (2)

    (3) (1)

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    CHAPTER 6.2 PRESENT STATUS OF PERFORMANCE

    APPRAISAL IN LILAVATI HOSPITAL

    The hospital was started in the year 1997 but till January 2004 there was

    no formal performance appraisal system to evaluate the employee s

    performances. Till that period there was a very informal evaluation of the

    employee s performances. At the year ending the supervisors use to make a

    report about their subordinate & evaluate their performance, but not in a

    systematic way. The employees who are recruited are kept on training period &

    probation period. And then depending upon their performance, they are made

    permanent. So there is a compulsory evaluation of the employees who are on

    training & on the probation period. But still there is no systematic formal

    performance appraisal system in the hospital.

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    CHAPTER 6.3 INTRODUCTION OF PERFORMANCE

    APPRAISAL IN LILAVATI HOSPITAL

    In Lilavati hospital, formal performance appraisal was not there earlier.

    Hospital started in the year 1997 and in the year 2003 the management thought

    about introducing formal performance appraisal system in the hospital.

    Hospital employs around 1000 employees & that is why it is very

    necessary to do their performance appraisal for continuous improvement. As th is

    profession is basically a service industry, so the people element becomes very

    important for them. The skills of people are as important as the facilities &

    technology advancement they provide. And this is why it is very important to

    keep a close watch on employees, their appraisal and development.

    So from January 2004 the management started the performance appraisal

    training programme in the hospital for the employees in order to make them

    aware about the performance appraisal system. The management decided to

    start with the appraisal of junior level staff (i.e. attendants, technicians, office

    assistants, staff nurses.) and in the later stage they will decide about supervisor s

    appraisal.

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    CHAPTER 6.4 TRAINING FOR PERFORMANCE APPRAISAL

    For this reason, the hospital started with the training programme for Junior

    level staff). Because management decided to start the performance appraisal

    system with junior level staff.

    As these staff employees are not well versed with the concept of HRD &

    performance appraisal; so it is very important to explain them the concept of

    performance appraisal. As we know, performance appraisal activity will be useful

    & successful only if the employee also understands the concept of performance

    appraisal & if they respond to the programme in proper manner. It is an

    interactive activity, which has to be done in co-operation with the employees.

    So the management started with training programme in January 2004.

    Training details:

    i. Trainer- Prof. Murty. (Former Air Force Officer & now

    consultant).

    ii. Total employees 25 per session.

    iii. Total 509 employees have attended the training

    programmed till 14/9/2005

    iv. Each session is on every Thursday from 9am to 5pm.

    v. Venue of training programme is Conference Room in

    hospital.

    vi. Observation period: 3 sessions.

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    CONTENT OF TRAINING PROGRAMME

    SESSION 1

    Introduction

    The training programme primarily explains why the work is important for

    an individual. It is important to explain & understand what are the different

    motives behind working in any organization. So the work done by an individual is

    basically for:

    i. For earning money.

    ii. Don t want to become lazy.

    iii. To use the time available.

    iv. To gain more knowledge & experience.

    v. To be independent.

    vi. To keep ourselves busy & active.

    vii. Work gives us a status.

    viii. To get mental satisfaction.

    ix. To make use of our abilities.

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    If We Are Not Satisfied; It Leads To:

    i. Depression

    ii. Tension / pressure

    iii. Unhappiness

    Mental satisfaction is very important. If we are not mentally satisfied

    then we get hospitalized at the age of 40. That it is why it is important to

    get satisfaction when we do our job. Because it keeps our mental as well

    as physical health very strong. And it leads to better performance, better

    earnings, rewards & good standard of life.

    How to Get Satisfaction At Work?

    i. When your job matches with your qualification.

    ii. When your ppeerrffoorrmmaannccee is good.

    iii. Growth & Development.

    iv. Your relationship with your colleagues.

    These things can satisfy us because these elements can

    satisfy for our search for growth, better prospect for career, excellence & status.

    Performance Appraisal System:-

    Before explaining them theperformance appraisal system; it is important

    to explain & understand what is performance . And on which factors it is

    judged. Because until performance is explained, the further performance

    appraisal system can t be explained.

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    So the performance is basically:

    1. Ability to work

    2. Quality of work.

    Performance Is Something Which Is According To Result

    Expectation.

    Performance is mainly result-oriented work, which can be

    compared with expected results. It is basically matching actual results &

    expected results.

    Expectations again can be from different group of individuals:

    i. Management

    ii. Customers

    iii. Boss / supervisor

    iv. Self

    v. Department

    vi. Colleagues

    Expectations can be different from different people because

    every person has its own role to be performed in any organization & that is

    why he is suppose to do different things in the same role & so the

    expectations are varied.

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    What patient expects from you?

    It is very important for employee to understand what patients

    expect from him; otherwise he/she cannot perform as per patient s

    desire & then the patients are dissatisfied with the person.

    What boss expects from you?

    At the same time it is very important to understand what boss expects out

    of you. Because the boss tries to match employee s performance with set

    performance standards & if an employee can work as per boss expectation,

    then he can definitely improve himself & the complete organization will be

    benefited. Subordinates can understand the boss s expectation by asking the

    boss directly.

    Self Image:

    We have a self-image & we want a good positive feedback. Otherwise we feel

    bad. We don t want negative feedback. All the time we appraise others and

    get appraised, but in mind not face-to-face.

    This kind of attitude can stop employee s growth & then employee starts

    thinking that he is performing well but in reality it is not actually like that.

    Employee should be eager to know where he is lacking so that he can correct

    himself.

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    Few small tasks to be performed:

    o Handshake with any of the person & ask him what he felt?

    o What you felt about me since morning? You are appraising me since last 2

    hours.

    o Why do you scare about appraisal?

    Appraisal: -

    Appraisal is basically to evaluate the performance, grade it / rank it

    & then compare it with the standard performance expected.

    Evaluate

    Grade Standards

    Compare

    Components Of Appraisal System : -

    i. Explanatory Note:

    It is about presenting the report of performance appraisal as on

    explanatory note where you explain how the performance is judged.

    ii. Self Appraisal (Appraisee):

    Here employee appraises / evaluates his performance by himself.

    But here the employee should understand that he should not

    overrate himself & take an un-biased appraisal.

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    iii. Appraiser s Appraisal:

    Here the appraisal of the appraiser (boss) is done by his superior.

    if the supervisors are also appraised then their subordinates will

    understand the importance of performance appraisal & they will

    take it seriously.

    iv. Discussion / Interview:

    This component brings out more ideas & the performance appraisal

    becomes more real and unbiased. Here the two-way interactive

    action is possible. Because of discussions & interviews there is

    more interaction between the superior & subordinates. Which helps

    in making the healthy relations between the boss & his subordinate.

    v. Review:

    Because of human nature, there might me bias decision. So it is better to

    review the performance appraisal by boss s boss. So review can help to

    avoid any bias decisions. There is one standard rule about review that the

    reviewer will not change the marking done by the appraiser. He will only

    give suggestions; in writing. Review can help to avoid any biased decision.

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    vi. Plan For Next Year

    There has to be a systematic plan for next year s performance

    appraisal system. So that the mistakes & shortcomings of current

    programmes will be avoided in the next plan.

    vii. Developmental Recommendation

    Recommendations for further developments have to be suggested.

    So that employee understands his weakness & can improve upon

    those areas.

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    SESSION 2

    EXERCISE : Managing Your Future.

    In the training programme, this exercise was given to employees. The

    exercise was about managing your future .

    They were asked that;

    How many of you will take this exercise to your boss & discuss with him?

    3 Alternatives:

    i. Go directly

    ii. Take trainer with you

    iii. Send envelope

    5 Levels Of Effectiveness:

    The hospital is a group of people who are skilled, unskilled,

    professionals, & what not. So all the employees should understand

    that not only individual but also group effectiveness. In the

    organization there are 5 types of effectiveness as under:

    i. Individual / Personal Effectiveness:

    When a person is effective & proves his efficiency in organization.

    ii. Interpersonal Effectiveness:

    Here there is effectiveness between two people when they interact

    with each other.

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    iii. Team / Group Effectiveness:

    When there are departments then there are teams / groups of

    people who work in co-ordination with each other & then there is

    group effectiveness.

    iv. Managerial Effectiveness:

    Managers at all levels have their own way of effectiveness as they

    have different role which is more challenging & they also have

    power.

    v. Organizational Effectiveness:

    Organizations as a whole can have its own effectiveness & impact.

    Fundamental Relationship In Organization:

    Superior Subordinate Relationship

    For a good superior subordinate relationship, there must be mmuuttuuaall ttrruusstt,

    ccoonnffiiddeennccee, uunnddeerrssttaannddiinngg & respect on each other.

    Try to change mentality of the employees that boss is not good. Just

    believe that boss is a very nice person and you treat him as a good boss. Try to

    change your attitude so it will change your relation with your boss. Just presume

    that your boss is good & behave with him accordingly.

    It is essential to have good relationship between these two personnel then

    only they can work in co-ordination. If the relationship is not good & free; then

    there will be different barriers in the mind of employee & these two won t be able

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    to share their thoughts with each other. They will loose every opportunity to

    improve, change & grow.

    After that the trainer plays some small interesting games to make them

    understand the concept easily.

    Game 1 :

    Identify The Item And Name The Person Who Belongs It.

    Objective: To test your oobbsseerrvvaattiioonnppoowweerr and sseennssiittiivviittyy.

    Explanation:

    The trainer used to announce a thing & then the employees

    were used to identify the person who belongs it.

    Example: a person wearing blue shirt / black pant.

    It increases the observation power & sensitivity of the

    person. It is to check hoe the person can observe other

    person, his skills, his attitudes, which is very necessary.

    Observation plays very important role in understanding other

    individuals. Those can be boss, subordinate or colleague or

    patient also.

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    Game 2: Follow the leader

    Explanation: The trainer used to ask a person from group of

    employees to go out of the room. Then he used select

    a leader out of remaining people & then leader used

    to do some actions which were followed by other

    group members (like clapping). Then the person who

    used to stand out, he was called inside the room &

    was asked to find out who is leader among the group.

    From this game, you can understand how the leader-follower

    relationship should be. In any organization, the leader-follower

    should have a very strong relation & they should have good

    understanding between them so that when an outsider comes into

    organization then this relationship creates a very good impact.

    Leader Follower Relationship

    To be a good leader, one should have good followers. & to be a good

    follower one should have good leader. Both are two sides of the same

    coin.

    Ask who s job are you doing?

    How did you come here?

    How do we understand our job?

    The better you understand your job, better you can do it. Boss must make

    you understand the job.

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    Game 3:

    Trust fall:

    Explanation: This game talk about trust element between two

    individuals /groups /organizations. The game was like

    this. The employees were standing in two rows with

    the same direction.

    Row 1

    Row 2

    And then the people standing in row 1 were asked to

    fall down towards back & the employees in row 2

    were supposed to catch their partners in row 1. There

    were few partners who caught their partners in a

    perfect manner; but few people couldn t manage that.

    Now this game explains how the trust is built between

    two partners when nothing is conversed between

    those two. One needs to understand others need &

    fulfill it. When this happens then the trust is built

    among those two & then the job can be done in the

    most effective manner.

    You Will Never Get Help, If You Want It But If You Don t Ask

    For It.

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    For Growth:

    i. An employee should ask every doubt & query about his job to his boss.

    An employee should ensure that his boss has explained him every detail

    about his job.

    ii. Or if he doesn t know his job then he should go to his boss & request

    him to explain.

    iii. An employee should ask his boss for giving more job responsibilities,

    and challenging jobs. Because if challenging jobs are given then

    employee can show his skills & grow. Which is beneficial for both

    employee and the organization.

    For Promotion:

    Employees always try for promotion because they want a higher post with

    better rank. But its really not important to get just a good rank but an

    employee should look for better job responsibility which will give him an

    opportunity to perform better & grow in the long run.

    Promotion is not an easy task. It gives you more responsibilities &

    more results are expected from you. So you should have the ability to

    perform those duties if you are promoted, then you should be able to

    handle the job responsibilities of that position. You should have the

    adequate knowledge & skills required for that position.

    You Get Promotion OnConsistent Performance. .

    Show Appraisal Forms.

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    Summary of The Training Programme

    So, in this way the training programme is arranged for performance

    appraisal to be introduced. It started with explaining what is performance & the

    systematic information was given to employees.

    The trainer makes every effort to explain each & every term, which

    has to be introduced to the employees before they actually, do or face

    performance appraisal.

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    CHAPTER 6.5 ANALYSIS & INTERPRETATION OF DATA

    Research Conducted Of The Employees

    A research was conducted in the Lilavati Hospital.

    Sample Size: 45

    Employee Designations: i. Junior Officers

    ii. Office Assistants.

    iii. Attendants

    iv. Staff Nurses

    Method of Data Collection: Questionnaire & Informal discussion.

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    Findings of the DATA collected

    1. Q 1 Meaning of performance is:

    a. Evaluate b. Discipline to work c. Keep records of

    employees.

    Options a b Total

    response 35 10 45

    % 78 22 100

    a

    78%

    b

    22%

    a

    b

    Findings:

    From the above record it is seen that most of the employees understand

    correct meaning of performance appraisal as evaluation. so there is conceptual

    clarity.

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    2. Performance Appraisal is necessary at all levels :

    a. Not at all b. To some extent c. To great extent d. Absolutely

    essential

    Options b d total

    response 10 35 45

    % 22 78 100

    b

    22%

    d

    78%

    b

    d

    Findings:

    From the above record it is seen that most of the employees are of the

    opinion that performance appraisal is absolutely essential at all levels.

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    3. Meaning of performance is :

    a. Ability to work b. Understand actual work to be performed.

    c. Result oriented work. d. Giving maximum dedication towards work

    options a b c total

    response 5 20 20 45

    % 11 44 45 100

    a

    a

    b

    b

    c

    c

    0

    5

    10

    15

    20

    25

    30

    35

    40

    45

    a b c

    response

    %

    Findings:

    From the above record it is seen that most of the employees say

    that performance is to understand actual work to be performed & also it is

    result-oriented work.

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    4. Performance Appraisal should be carried out:

    a. Monthly b. Quarterly c. Half Yearly d. Yearly.

    Options B C D Total

    Response 5 25 15 45

    % 11 56 33 100

    0

    10

    20

    30

    40

    50

    60

    b c d

    response

    %

    Findings:

    From the above record it is seen that significant no. of employees feel that

    performance appraisal should be carried out half yearly but considerable no. of

    employees say that it can be carried out yearly.

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    5. Performance Appraisal should be a secret document :

    a. Yes b. No c. Can t say

    options a b c total

    response 20 20 5 45

    % 45 45 10 100

    a

    45%

    b

    44%

    c

    11%

    a

    b

    c

    Findings:

    From the above record it is seen that half of the employees feel that

    performance appraisal should be a secret document where as half say that it

    should not be a secret document.

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    6. Should superior discuss performance appraisal with subordinates :

    a. To some extent b. Thoroughly discuss c. Not at all

    options a b total

    response 35 10 45

    % 78 22 100

    0

    10

    20

    30

    40

    50

    60

    70

    80

    a b

    response

    %

    Findings:

    From the above record it is seen that most of the employees that superior

    should discuss performance appraisal with subordinates to some extent.

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    7. Should performance appraisal be linked with salary :

    a. Totally linked b. partially linked c. Not at all

    options a b total

    response 20 25 45

    % 45 55 100

    a

    44%b

    56%

    a

    b

    Findings:

    From the above record it is seen that all of the employees are of the

    opinion that performance appraisal should be linked with salary. But 50% feel

    that it should be partially linked where as 50% feel that it should be totally linked.

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    8. Should incentives be directly linked with performance appraisal :

    a. Yes b. No c. Depending upon task d. Can t say

    options a c total

    response 30 15 45

    % 66 33 100

    0

    10

    20

    30

    40

    50

    60

    70

    a c

    response

    %

    Findings:

    From the above record it is seen that all of the employees feel that

    incentives should be directly linked with performance appraisal where as around

    33% feel that it should be linked depending upon the task.

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    9. Before performance appraisal individual key result areas should be

    defined :

    a. Yes. b. No

    options a b total

    response 40 5 45

    % 89 11 100

    a

    89%

    b

    11%

    a

    b

    Findings:

    From the above record it is seen that most of the employees are of the

    opinion that before performance appraisal individual key result areas has to be

    defined so that its better for the employees to understand the work clearly.

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    10.Job description of each employee at various level is defined :

    a. Clearly b. Not clearly c. Vaguely defined d.

    Can t say

    options a c total

    response 35 10 45

    % 78 22 100

    0

    10

    20

    30

    40

    50

    60

    70

    80

    a c

    response

    %

    Findings:

    From the above record it is seen that most of the employees feel that in

    this hospital, job description of each employee is clearly defined at various levels.

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    11.Should performance appraisal be used for punishment / penalty :

    a. Not at all b. Some times c. Always d. Situational

    options a b d total

    response 30 10 5 45

    % 66 22 11 100

    a

    67%

    b

    22%

    d

    11%

    a

    b

    d

    Findings:

    From the above record it is seen that around 66% of the employees feel

    that performance appraisal should not be used at all for punishment. But

    considerable no. of employees feel that performance appraisal can be used for

    punishment depending upon task.

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    12.Whether performance appraisal should be done :

    a. Formally b. Informally c. Both ways d. Can t say

    options A c total

    response 20 25 45

    % 45 55 100

    0

    10

    20

    30

    40

    50

    60

    A c

    response

    %

    Findings:

    From the above record it is seen that half of the employees are of the

    opinion that performance appraisal should be done in the hospital only formally;

    where as half of the employees feel that it should be done both formally &

    informally.

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    13.Performance Appraisal should be linked with the income of the hospita l :

    a. Yes b. No

    options A b total

    response 20 25 45

    % 45 55 100

    A

    44%

    b

    56%

    A

    b

    Findings:

    From the above record it is seen that considerable no. of the employees

    feels that performance appraisal should not be linked with the income of hospital.

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    14. Should doctors appraise non-medical staff :

    a. Yes b. No c. If necessary d. can t say

    options A b c total

    response 5 10 30 9

    % 11 22 66 100

    0

    10

    20

    30

    40

    50

    60

    70

    A b c

    response

    %

    Findings:

    From the above record it is seen that most of the employees feel that

    doctors should appraise non medical staff if necessary.

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    15. Because of turnover of medical staff (doctors) the performance is not

    stabilize :

    a. Yes b. No c. Can t say

    options A b c d total

    response 5 20 15 5 45

    % 11 44 33 11 100

    A

    11%

    b

    45%

    c

    33%

    d

    11%

    A

    b

    c

    d

    Findings:

    From the above record it is seen that around 50% of the employees feel

    that there is no effect of turnover of medical staff(doctors) on performance of

    hospitals; where as some feel that it has effect but to some extent.

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    TRAINING PROGRAMME FEEDBACK

    1. Rate the knowledge & communication skills of the trainer :

    a. Poor b. Satisfactory c. Good d. Very Good

    e. Excellent

    options c d E total

    response 20 15 10 45

    % 45 33 22 100

    0

    5

    10

    15

    20

    25

    30

    35

    40

    45

    c d E

    response

    %

    Findings:

    From the above record it is seen that all the employees feel that

    knowledge & communication skills of the trainer i.e. Prof. Murty is very good.

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    2. Ability of trainer to make you understand :

    a. Poor b. Satisfactory c. Good d. Very Good

    e. Excellent

    options c d E total

    response 20 15 10 45

    % 45 33 22 100

    c

    45%

    d

    33%

    E

    22%

    c

    d

    E

    Findings:

    From the above record it is seen that all of the employees feel that the

    ability of trainer to make them understand is very good. which implies that the

    trainer is really very good in terms of conceptual clarity & teaching.

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    3. Duration of training period :

    a. Short b. Adequate c. Long

    options A b total

    response 5 40 45

    % 11 89 100

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    A b

    response

    %

    Findings:

    From the above record it is seen that most of the employees feel that

    duration of training period is adequate.

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    4. Rate the physical facilities of the place where training programme is

    conducted :

    a. Poor b. Satisfactory c. Good d. Very Good

    e. Excellent

    options b c d total

    response 5 20 20 45

    % 10 45 45 100

    b

    11%

    c45%

    d

    44%b

    c

    d

    Findings:

    From the above record it is seen that all the employees feel that physical

    facilities of the place of training programme is very good.

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    5. Was the material given during training period was useful & effective :

    a. Yes b. No c. To some extent

    options A b c total

    response 30 5 10 45

    % 66 11 22 100

    0

    10

    20

    30

    40

    50

    60

    70

    A b c

    response

    %

    Findings:

    From the above record it is seen that most of the employees feel that

    material given during training period is useful & effective.

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    6. Refreshment facilities provided during training session were :

    a. Poor b. Satisfactory c. Good d. Very Good

    e. Excellent

    options c d total

    response 25 20 45

    % 5 4 100

    c

    56%

    d

    44% c

    d

    Findings:

    From the above record it is seen that most of the employees feel that

    refreshment facilities are very good.

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    7. Was the training programme really useful to you :

    a. Yes b. No c. To some extent

    options A c total

    response 35 10 45

    % 78 22 100

    0

    10

    20

    30

    40

    50

    60

    70

    80

    A c

    response

    %

    Findings:

    From the above record it is seen that most of the employees feel that

    training programme was really useful to them.

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    8. How far you are able to practice the things in your work :

    a. To some extent b. To great extent c. Not at all

    options A b total

    response 20 25 45

    % 45 55 100

    A

    44%b

    56%

    A

    b

    Findings:

    From the above record it is seen that all of the employees are able to

    practice the things taught in training programme in work. So the training

    programme was beneficial for them.

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    OBSERVATIONS & FINDINGS

    What I observed during the project work is :

    1. The management has understood the importance of systematic appraisal

    system & they are taking every effort to implement it properly.

    2. The training programme arranged for performance appraisal is good. The

    trainer is also very effective to make the employees understand the

    concept.

    3. Most of the employees are slowly understanding the importance of

    performance appraisal.

    4. The games which were played in the training programme were helpful to

    understand that; how people understand & learn small things, which are

    useful for individual as well as organization effectiveness.

    5. These games induced them to think about small things, which they can

    easily develop in themselves without spending anything.

    6. And finally they understand how performance appraisal will help them &

    they were convinced that performance appraisal activity should be done in

    the hospitals.

    7. The performance appraisal training programme is appreciated by the

    employees & they are really benefited by it.

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    CHAPTER 8.1 CONCLUSION

    It has been observed that the subject of Performance Appraisal in Lilavati

    Hospital & Research Centre is in a nascent stage. And there is lack of awareness

    among employees about the subject. But in this regard, the management has

    already taken efforts to educate the employees & even the employees are giving

    positive response to the management. & they are also in the favour of

    implementing this performance appraisal system in the hospital.

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    Chapter 8.2 SUGGESTIONS

    Suggestions About Performance Appraisal System:

    1. Self Appraisal

    Before the boss doing the appraisal of his subordinate; there has to be self

    appraisal procedure. The employees should be given self appraisal forms

    to appraise themselves first.

    The sample self appraisal form designed by me is enclosed in annexure 1.

    2. Doctor s Appraisal:

    There should be doctor s appraisal also.

    Importance Of Doctor s Appraisal:

    1. Hospital administration can easily understand whether

    doctors are performing their duties as specified or not.

    2. There might be less turnover of doctors.

    3. If doctors are appraised regularly they can be made

    permanent.

    4. Doctors will learn from each other & will try to improve

    not only their professional skills (treating patients) but

    also their relationship with other employees.

    5. There will be healthy competition among doctors.

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    3. Supervisor s Appraisal:

    There should be supervisor s appraisal also.

    Importance of Supervisor s Appraisal:

    i. If the supervisors are also appraised then their

    subordinates will understand the importance of

    performance appraisal & they will take it seriously.

    ii. Even the supervisors will be aware of the fact that they

    are also going to get appraised.

    iii. There will be good co-ordination among the superiors &

    subordinates.

    Some Additional Suggestions Based On The Research Conducted Of HRD

    Department :

    i. Performance appraisal can be carried out half yearly also.

    ii. Superiors should thoroughly discuss performance appraisal with their

    subordinates.

    iii. Performance appraisal should not be used for punishment.

    iv. Performance appraisal should be done formally & there should be

    proper personal counselling by the superior with the subordinate after

    the appraisal.

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    Suggestions About Performance Appraisal Training Programme:

    i. Before attending the Performance appraisal training programme, the

    staff attending this programme should be firstly convinced that this

    programme is being arranged mainly for their upliftment & benefit so

    that they will attend the training with a positive attitude.

    ii. There should be LCD presentations and printed notes about the

    training programme.

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    CHAPTER 9.1 ANNEXURE 1

    Employee's Self-Appraisal Form

    We will be meeting on ____________________ to discuss your performance

    over the past year and to discuss the goals and objectives you pursued for FY

    200__. Your input is very important part of this meeting. You can prepare for the

    meeting, and help me to address your concerns, by reading over a few questions

    that follow and writing down your responses. As you reach each question, think

    about your performance; your progress; and your plans for the future. Please

    return the completed form to me by

    ______________________________________. (Attach additional pages if

    necessary).

    Name:____________________________

    Title:______________________________

    Date:_____________________________Department:_____________________

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    1. Which aspects of your job do you like best?

    2. Which aspects of your job would you like to modify?

    3. How has your workload changed during this appraisal period?

    4. What major projects were you involved in during this appraisal period?

    5. What were your most successful accomplishment(s) during this appraisal

    period, and what/who helped you to achieve them?

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    6. What goals were not accomplished during this appraisal period, and what

    would have helped you to achieve them?

    7. In what areas of your job have you had training this year, and what areas do

    you feel you need more experience and/or training?

    8. To improve effectiveness in your job, what changes would be necessary?

    9. What are your job-related goals for next year?

    10. How can your supervisor help you in meeting these goals?

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    9.2 ANNEXURE 2

    PERFORMANCE APPRAISAL FORM IN LILAVATI HOSPITAL.

    9.3 ANNEXURE 3

    QUESTIONNAIRE FOR RESEARCH

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    BIBLIOGRAPHY

    Books

    Human Resource Management

    - Gary Dessler

    Human Resource Management

    - Anjali Ghanekar

    Manual

    HRD Manual of Lilavati Hospital

    Websites

    www.google.com

    www.lilavatihospital.com

    www.licos.com

    http://www.licos.com/http://www.lilavatihospital.com/http://www.google.com/
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