Marissa H-Hazel A.

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Performance Diagnostic Checklist Notes
Training
1. Has the employee received formal training on this task? (Instructions, demonstration, rehearsal)
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2. Can the employee accurately describe the target task when it should be performed?
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3. Is there evidence that the employee has accurately completed the task in the past?
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4. If the task needs to be completed quickly, can the employee perform it at the appropriate time?
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Task Clarification & Prompting
1. Has the employee been informed that he/she is expected to perform the task?
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2. Can the employee state the purpose of the task?
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3. Is a job aid (e.g. a checklist, data sheet) for completing the task visibly located in the task area?
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Performance Diagnostic Checklist Notes
4. Is the employee ever verbally, textually, or electronically reminded to complete the task?
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5. Is the task being performed in an environment well-suited for task completion (e.g. not noisy
or crowded)?
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Resources, Materials, & Processes
1. Are there sufficient numbers of trained staff available in the program?
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2. If materials (e.g. teaching stimuli, preferred items) are required for task completion, are they
readily available (e.g. easy to find, nearby)?
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3. Are the materials necessary to complete the task well designed for their intended purpose?
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4. Are the materials necessary to complete the task well organized for their intended purpose?
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5. Is performance suffering from other tasks not being completed first?
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Performance Diagnostic Checklist Notes
6. If you answered YES for question 5, are other employees responsible for completing any of the
earlier tasks in the process?
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Performance, Consequences, Effort, & Completion
1. Is the employee ever directly monitored by a supervisor?
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2. Does the employee ever receive feedback about the performance?
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3. Does the employee ever see the effects of accurate task completion?
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4. Is the task particularly effortful or difficult?
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5. Do other tasks appear to take precedence over the target task?
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Recommended Interventions: Descriptions & Examples
Behavioral Skills Training
 Instructions: Provide a description of the skill, its importance or rationale, and when/when
not to use the skill.
 Modeling: Show your participant how to perform the skill. In-person is best!
 Rehearsal: Practice, practice, practice! Provide opportunities to practice the skill.
 Feedback: The trainer should provide specific praise for correct responding and specific
corrective feedback for incorrect responses.
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Improved Personal Selection
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Task Clarification & Checklists
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Prompts
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Change/Alter Task Location
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Adjust Staffing
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Recommended Interventions: Descriptions & Examples
Improve Access to, Redesign, or Reorganize Task Materials
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Reassess Task Process and Personnel
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Increased Supervisor Presence
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Performance Feedback
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Regularly Highlight Task Outcomes
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Reduce Task Effort
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Reduce Aversive Task Properties
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Plan Creation Date: _______________________________
Organization Growth Plan
Target Area(s) (determined via PDC-HS) with Specific Number(s):
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Long-Term Goal:
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Recommended Intervention(s):
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Short-Term Goal:
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Chosen Intervention to Implement:
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Does the intervention require materials? (if yes attach a materials list)
Yes
No
Who will the intervention be presented to and where will it be conducted?
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Organization Growth Plan
Who will initially present, explain, and train the intervention?
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Who will check-in and take data on intervention use and fidelity?
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How often will check-ins on intervention use and fidelity occur?
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Who will be on the intervention evaluation team?
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How often will the team evaluate intervention progress and fidelity?
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How will the results and feedback be presented to those involved in the intervention?
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Scheduled Date of Implementation: __________________________________
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Organization Growth Plan
Data Collection and Documentation
Short-Term Goal: _____________________________________________________________
Date of Check-In
Observer
Employee
(Or Anonymous)
Goal Accomplished?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Treatment Fidelity
# of Steps Completed?
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Comments:
# of Steps Completed?
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Comments:
# of Steps Completed?
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Comments:
# of Steps Completed?
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Comments:
Comments:
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# of Steps Completed?
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Date of Feedback
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