ࡱ> 463 /bjbj 0hh/ #$GGGGG666$66666GGbbb6 GGb6bbbGPɥf|@"b0bababab(66b66666b6666666a666666666 : Physician Performance Evaluation Physician Under Review: Date of Review: / / Section 1: Patient Care Quality of care: 1 2 3 4 5 Adherence to QA standards: 1 2 3 4 5 Appropriateness of Diagnostics and Therapeutics: 1 2 3 4 5 Continuing Medical Education (CME) Requirements met: Y / N Section 2: Communication and Interaction Communication and interaction with fellow providers: 1 2 3 4 5 Communication and interaction with staff: 1 2 3 4 5 Communication and interaction with patients and families: 1 2 3 4 5 Patient satisfaction: 1 2 3 4 5 Communication with referring physicians (including timeliness and thoroughness): 1 2 3 4 5 Timeliness, legibility, and thoroughness of documentation: 1 2 3 4 5 Section 3: Other Financial contribution and workload: 1 2 3 4 5 Punctuality: 1 2 3 4 5 Attitude: 1 2 3 4 5 Flexibility: 1 2 3 4 5 Participation in group activities, meetings, projects: 1 2 3 4 5 Comments: Comments/response from physician under evaluation: Signatures: ____________________________________ Medical Director Date ____________________________________ Physician Date Form originally supplied by PhysiciansPractice.com  #WZrtA D   R U ? @ g j % ( Z ] , 0 9 @ r y / h/CJ h  CJ h  ;h  h/;!"#XYZstB C D    &dP &dP$a$ S T U @ h i j & ' ( [ \ ]  &dP - . / 0 : ; < = > ? @ s t u v w x y &dP /.:p  / =!"#$% ^ 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH L`L   Normal5$7$8$9DH$CJ_HmH sH tH 8@8   Heading 1$@&5DA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List PK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] / / / L# AA@0(  B S  ?1-2xy13  w da//1@xxBxx/`@UnknownG* Times New Roman5Symbol3. * ArialA BCambria Math"hZǦZǦC C !xx20,,2HX  $Pw2!xx Physician Performance EvaluationMarisa DiNataleTammis AlexanderOh+'0 ,8 X d p|$Physician Performance EvaluationMarisa DiNataleNormalTammis Alexander2Microsoft Office Word@F#@M|@M|C՜.+,08 hp|    , !Physician Performance Evaluation Title!Physician Performance Evaluation  !"$%&'()*,-./0125Root Entry F ܸf|7Data 1TableaWordDocument0SummaryInformation(#DocumentSummaryInformation8+CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q