6 month evaluation tool
[DOC File]Example of Action Plan and Implementation Timeline
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CER Project Title: Project Period Goal: An outcome statement that defines what the program intends to accomplish over the project period. Long-term Impact or Outcome
[DOC File]SAMPLE EVALUATION FORM #1
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EVALUATION TOOL. We appreciate your help in evaluating this program. Please indicate your rating of the presentation in the categories below by circling the appropriate number, using a scale of 1 (low) through 5 (high). Please fill out both sides of this form: OBJECTIVES This program met the stated objectives of: 1.
[DOCX File]Microsoft Word - Performance Evaluation.doc
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The Performance Evaluation is to reflect a positive and collaborative approach. Performance evaluation is a continuing process undertaken by both the employee and the supervisor, and the six- (6) month or annual written review is to formally reflect the interchanges that have taken place throughout the review period.
[DOC File]IMPLEMENTATION PLAN (SAMPLE)
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Follow-up and Evaluation. Assign a point person for questions/issues during implementation and the following month. Conduct informal oral surveys to determine staff knowledge using management rounding or other existing feedback mechanisms. Check key areas six months post implementation to assess how well the changes have been integrated.
PROBATION PERIOD ASSESSMENT FORM
MANAGERS PROBATION REVIEW FORM FOR STAFF. PLEASE NOTE: Managers are required to submit a copy of this form to HR Services even if the employee’s performance is satisfactory. Failure to complete and submit this form will result in the assumption that the employee’s probation period has progressed satisfactorily.
[DOCX File]Question-by-Question Instruction Guide
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For programs completing a 6-month GPRA follow-up interview—If a client receives the GPRA intake/baseline interview on January 1st, the 6-month follow-up anniversary date would be July 1st. The window period for conducting the 6-month follow-up interview would open one month before the anniversary date on June 1st, and close two months after ...
[DOCX File]OUTPATIENT PEDIATRIC SPEECH THERAPY
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Date of Evaluation: 10/2/2014. Physician: Dr. XX. Referred by: Dr. XX. CA: 3;6. Diagnoses: Cerebral Palsy, Other developmental speech or language disorder (315.39) History: ARIANNA CARTER, a three-year, six-month old child was evaluated at Hospital’s department of Speech, Audiology and Neurodiagnostics on October 2, 2014.
[DOC File]COMPETENCY CHECKLIST (SAMPLE)
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Emergency Code Standardization Process Method of Evaluation Initials Comments Patient Safety: Access to emergency code policy and procedure. VR Definitions of each emergency code. WE How to call each emergency code. WE When is it appropriate to call each code. VR Staff responsibilities after calling or hearing a code.
[DOC File]Instructions for Completing the Well Child Care Record ...
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In NC, developmental screens must be done at the 6-month, 12-month, 18-or 24-months, and 3, 4, and 5 -year visits. Documentation should include the name of the screening tool, date the screening was performed, evidence that the provider has reviewed the tool, screening result/score, guidance given, discussion with the family, and any referrals ...
[DOC File]MONTHLY QUALITY ASSURANCE CHECKLIST
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Select one or more systems each month and evaluate components or processes for compliance. Place a check mark by item if acceptable/within limits. Write ‘N/A” if item is not applicable at the time of evaluation. Write “C” if item requires a comment and/or corrective action . Write “QAS” if a QA study was generated. PATIENT ...
[DOCX File]Alabama’s Early Intervention System Part C Individualized ...
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Federal regulations require the use of a family assessment tool and also an interview [§303.321(c)(2)(iii) ... added at 6-month review _____ added at additional review _____ ... in notification to LEA and has given written permission to release additional documentation to LEA such as IFSP and evaluation reports.
[DOC File]Employee Self-Report of Accomplishments Overview
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Journal tab of the Performance Appraisal Application (PAA) Tool throughout the performance evaluation period. ... Each month I processed between 81 and 189 travel requests. Of those, each month I had a percentage of requests with 0-1 errors at 85%. I processed 87% of the requests within 24 hours of receipt.
[DOC File]PROBATION PERIOD ASSESSMENT FORM
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- a second copy of PART 2 of this form may also be used to conduct a 6-month review with an employee whose probationary period is 9 months) To be completed by the Line Manager in discussion with the employee.
[DOC File]EBS Systems-wide Evaluation Tool
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The School-wide Evaluation Tool (SET) is designed to assess and evaluate the critical features of school-wide effective behavior support across each academic school year. The SET results are used to: assess features that are in place, determine annual goals for school-wide effective behavior support,
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