LEVEL A LEVEL B LEVEL C LEVEL D LEVEL E

Learning Applying Proficient Expert Shaping

Awareness Functional Consistent Innovator Mentoring
level Application Application Level Level
Knowledge Attitude Process
Technique
Based Based Based
Skills Based Based
Elementary Consistent Provides
understanding Able to apply Functions as a
use in variety creative
leader/ mentor
of concept of situations solutions

Work
Spot
Needs close Minimum completely Supervises/
checking
supervision assistance on his/her trains others
only
own
LEVEL A LEVEL B LEVEL C LEVEL D LEVEL E
Learning Applying Proficient Expert Shaping
Awareness Functional Consistent Innovator Mentoring
level Application Application Level Level
Knowledge Attitude Process
Technique
Based Based Based
Skills Based Based
Elementary Consistent Provides
understanding Able to apply Functions as a
use in variety creative
leader/ mentor
of concept of situations solutions

Work
Spot
Needs close Minimum completely Supervises/
checking
supervision assistance on his/her trains others
only
own
DOH HHRDB COMPETENCY PROFICIENCY ASSESSMENT – HOSPITALS

FOR SALARY GRADE 1 – 9 (SKILLED)

SELF ASSESSMENT
Name : ___________________________________ Office/Service: ___________________________________
Position Title : ___________________________________ Division : ___________________________________
Status of Appointment: ____________________________ No. of years in service:_________________________________

No. of years in current position: __________________ Date accomplished: ____________________

CORE COMPETENCIES
LEVELS CRITICAL INCIDENTS COMMENTS ON STRENGTHS/
A B C D E DEVELOPMENTAL NEEDS
Organizational
Commitment
O O O O O
Integrity
O O O O O
Quality Service Focus O O O O O
Teamwork O O O O O
Stewardship of
Resources
O O O O O
Self-Development O O O O O
Attention to
Communication
O O O O O
 LEVELS
CORE COMPETENCIES
A B C D E
Organizational Commitment

Integrity

Quality Service Focus

Teamwork

Stewardship of Resources

Self-Development

Attention to Communication
 COMMENTS ON STRENGTHS/
CRITICAL INCIDENTS
DEVELOPMENTAL NEEDS

S:Loyalty to organization
I was able to share the hospital’s
D: Need reorientation on
vision and mission to visiting ISO
performance assessment system of
Auditor last October
the hospital

Welcomes feedback from team

members on work assignments.

Attended a BLS Training Course.

Addressed issues and concerns
thru meetings, e-mails, and policy.