A 360 Degree Multi-source Appraisal System for Performance Appraisal of Resident Medical Officers in a Hospital

1. Performance Appraisal
for RMO
Nirmalendu Jena
Under the Guidance of
Dr. Sunil S Bandekar

2. Objective
To design and implement a
360 Degree Multisource
Appraisal System for
Performance Appraisal of
RMOs

3. Introduction
Performance appraisal can be described
as a systematic evaluation of
performance of several employees so
that they can understand all abilities of
a person and their development and
growth.

4. Importance of PA
• Goal setting and desired performance reinforcement
• Performance improvement
• Determination of training needs
• Enhancement of employee focus through promoting trust

5. Components of PA
Define
Expectations
Measure
and
Evaluate
Provide
Feedback
Record
Performance

6. Methods of PA
Traditional Method
• Ranking Method
• Grading
• Checklist method
• Graphic Scale Method
• Confidential Report
Modern Methods
• 360-degree Appraisal
• MBO
• Cost Accounting
Method
• Assessment Centers

7. Methods used
360 degree Feedback
Management by Objectives (MBO)
Clinical
Patient
Administration

8. Performance Appraisal Process
Clinical
Sr. Consultant
30%
Colleagues
10%
Nurse
10%
Self
5%
Administration
Patient
55%
30%
15%

9. Clinical Score Evaluation Break-up
Criteria Weightage
Patient Care 30%
Medical Knowledge 15%
Communication Skills 15%
Professionalism 20%
Responsibilty and Reliablity 20%

10. Administrative Score Evaluation Break-up
Criteria Weightage
Payroll 40%
Complaints 40%
Achievement and Rewards 20%

11. Method of Review
• Three Separate Questionnaires for each category of respondents.
• It will be filled online.

12. Online Questionnaire
For Clinical Staff: https://goo.gl/forms/sC21XoJUl0aUbPIF2
For Administrative Staff: https://goo.gl/forms/wMYLsJVS2QKiLSWI3
For Patients: https://goo.gl/forms/TkYDZtv7hFpjCCtE3

13. Preview of Data Analysis
Refer the data modeling excel sheet

14. Scoring system
• Each category of respondents will give their feedback about a
particular RMO.
• Example: If, 3 Peers filled the questionnaire their average score of
each sections were
1. Patient care : 80%
2. Medical Knowledge :85%
3. Professionalism :78%
4. Responsibility and reliability : 75%
5. Communication Skill : 70%

15. Contd.
These average scores will be multiplied by the weight-age of each
section
Review Areas Weight-age Average Scores
Given By peers
Weighted Score
Patient Care 30% 80% 24%
Medical Knowledge 15% 85% 12.75%
Responsibilities and
Reliability
15% 78% 11.75 %
Professionalism 20% 75% 15%
Communication 20% 70% 14%
Weighted score total 77.5%

16. Score from Peer Review
Respondents Weightage Weighted Area
scores
Final Score
Senior consultant 30%
Peers 10% 77.5% 7.75%
Self 5%
Nurses 10%
Patients 15%
Administration 30%

17. Scores from other 3 Clinical Staffs
• Similarly we will get average weighted score for Senior
consultant, Nurses and self.
• Lets suppose we got Average weighted scores
1. Sr. Consultant: 75%
2. Self: 92%
3. Nurses: 80.5 %

18. Net Score from Clinal Staffs
Respondents Weightage Weighted Area
scores
Final Score
Senior consultant 30% 75% 22.5%
Peers 10% 77.5% 7.75%
Self 5% 92% 4.6%
Nurses 10% 80.5% 8.05%
Patients 15%
Administration 30%

19. Score from Patients’ Review
• Let’s consider 20 patients filled the questionnaire
• We will take the average of the scores of the patients
• Suppose the average score was 83%

20. Score from Patients’ Review
Respondents Weightage Weighted Area
scores
Final Score
Senior consultant 30%
Peers 10%
Self 5%
Nurses 10%
Patients 15% 83% 12.45%
Administration 30%

21. Score from Administration
• The third review will be done by the Administration
• Suppose the Scores received by RMO are
1. Payroll 80 %
2. Complaints : 85%
3. Achievements : 60%

22. Weightage Distribution
• These scores will be multiplied by the weight-age of each section
Areas of review Weightage Scores received Weighted Score
Payroll 40% 80% 32 %
Complaints 40% 85% 34%
Achievements 20% 60 % 12%
Total Weighted
score
78%

23. Score from Administration
Respondents Weightage Weighted Area
scores
Final Score
Senior consultant 30%
Peers 10%
Self 5%
Nurses 10%
Patients 15%
Administration 30% 78% 23.4%

24. Calculation for Final Score
• Once we receive the weighted scores for each category of
respondents
• These scores will be again multiplied by the weightage given to
each category of respondents

25. Final Score
Respondents Weightage Weighted Area
scores
Final Score
Senior consultant 30% 75.0% 22.5%
Peers 10% 77.5% 7.75%
Self 5% 92.0% 4.6%
Nurses 10% 80.5% 8.05%
Patients 15% 83.0% 12.45%
Administration 30% 78.0% 23.4%
78.75%

26. Benefits
• Track performance more acutely
• Better feedback system
• Helps in designing Appropriate training and development model
• Transparent system
• Measure performance on monthly, quarterly, yearly basis