Performance Management System – Apollo Hospitals Enterprise Limited

Appraisal Form – 2015 -2016

All Employees at Executive Grade & Above

Employee Name:- Business Unit:-

Employee Number:- Grade:-

Designation:- Asst. Manager Date of Joining:-

Department:- MRD Appraisal Period:-

Appraiser’s Name & Designation:- Reviewer’s Name & Designation:-

Section A: Performance
Outstanding – 5to 5.99 / Good – 4 to 4.99 / Satisfactory – 3 to 3.99 / Below Average – 2 to 2.99 / Poor – 1 to 1.99

S. KRA Weighta Assessment of Performance Rating Score Weighted

No (Description) ge (%) (Description) (B) Score =
(A) A x B/100
01 30  Wake up Call Audit
Completion of case  Open File Audit
 Close File Audit
sheet in all aspects

02 20 Assigned whatever Files

Mapping of ICD coding received ICD-10 coding and
entered in HIMS.
03 20 Verified Medical bills and
Prepare for Genunity
Issue of Genunity
certificate, take for
Certifies authorization and dispatched
by post for concern persons
and maintained data
04 15 Preparing Morality Data
monthly wise and Department
wise, Consultant Wise, age
Preparing Mortality Wise, Ward Wise
Find out the Death Patient
Data
After Surgery Expired

05 15  Preparing ACE Data

based on the
Monthly Surgeries.
 Find out the
Preparing ACE Data Department wise
Surgeries

06 10 Filling the Insurance Form

based on the Discharge
Summary

Insurance Form Filling

Total 100% 33.01 5.59


Competence
1. Job knowledge
(Technical/Functional
knowledge, Conceptual
skills, Business / Industry
Knowledge)
2. Quality Consciousness
(specific action taken to
improve quality of
Service/Process/Activity
3. Leadership and Managerial
Skills
(Taking on cross functional
responsibilities carrying the team
along, crisis management, problem
solving)
4. Cost consciousness (Cost
control measures
introduced, monitoring of
costs)
5. Subordinate Development
(second line development
and delegation)
6. Internal/External Customer
Orientation (Specific
activities taken to solve
customer problems, work
done in the customer
delight)
Section B: Competencies
Self Assessment by Appraisee Rating by Appraiser’s Rating by
Appraisee Comments Appraiser
 Medical Terminology 5.96
 Medical Records
Management
 Medical Coding
 Follow up IP Pending 5.82
Records Intimation
weekly wise.
 Preparing Quality
Indicators and improved
each process.
 Co ordinate with ward 5.75
Executive any related
Medical Record Issues
and Pending IP files
follow-up.
 Assigned Department
work for Assistants.
 Reduced Un wanted 5.58
forms (like Xerox copy’s)
without QF number didn’t
use in Medical Records
and inform particular
ward nurse
Encourage for their hard work and 5.98
Trained to develop for Technical
Works.
ROI( Release of Information) 5.98
First check IPSG-I (patient
Identification) and given to
information on timely basics
within 72 hours.
Co ordinate Prepare for Genunity
certificate.
 Section C: Personal Development Plan

Attributes Self Assessment by Appraise Appraiser’s Remarks

Hard work,
1. Strengths (Minimum 3) Love of Learning,
Perspective.
ICD coding
2. Areas of Improvement (Minimum 3) ACE Data
Data Analysis

3. Personal Development Plan(PDP) –

Please including training, seminars, on- PG Diploma in Legal Documentation
the-job training projects etc
4. Areas for job rotation/career growth Admisistration

Section: D
To be completed by the Appraiser

1. Overall comments and recommendation :

2. Overall performance rating: (Please tick) to be based on performance against KRAs only

Outstanding Good Satisfactory Below Average Poor

Appraiser’s Signature:- Appraiser’s Signature:-

Date:- Date:-

Section: E
To be completed by the Reviewer

Comment’s by Reviewer:

Reviewer’s Signature Date:-