Performance Diagnostic Checklist Notes Training 1. Has the employee received formal training on this task? (Instructions, demonstration, rehearsal) _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 2. Can the employee accurately describe the target task when it should be performed? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 3. Is there evidence that the employee has accurately completed the task in the past? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ 4. If the task needs to be completed quickly, can the employee perform it at the appropriate time? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Task Clarification & Prompting 1. Has the employee been informed that he/she is expected to perform the task? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 2. Can the employee state the purpose of the task? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 3. Is a job aid (e.g. a checklist, data sheet) for completing the task visibly located in the task area? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Page 1 of 8 Performance Diagnostic Checklist Notes 4. Is the employee ever verbally, textually, or electronically reminded to complete the task? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 5. Is the task being performed in an environment well-suited for task completion (e.g. not noisy or crowded)? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Resources, Materials, & Processes 1. Are there sufficient numbers of trained staff available in the program? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 2. If materials (e.g. teaching stimuli, preferred items) are required for task completion, are they readily available (e.g. easy to find, nearby)? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 3. Are the materials necessary to complete the task well designed for their intended purpose? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 4. Are the materials necessary to complete the task well organized for their intended purpose? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 5. Is performance suffering from other tasks not being completed first? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Page 2 of 8 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? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Performance, Consequences, Effort, & Completion 1. Is the employee ever directly monitored by a supervisor? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 2. Does the employee ever receive feedback about the performance? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 3. Does the employee ever see the effects of accurate task completion? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 4. Is the task particularly effortful or difficult? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 5. Do other tasks appear to take precedence over the target task? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Page 3 of 8 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. _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Improved Personal Selection _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Task Clarification & Checklists _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Prompts _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Change/Alter Task Location _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Adjust Staffing _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Page 4 of 8 Recommended Interventions: Descriptions & Examples Improve Access to, Redesign, or Reorganize Task Materials _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Reassess Task Process and Personnel _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Increased Supervisor Presence _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Performance Feedback _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Regularly Highlight Task Outcomes _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Reduce Task Effort _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Reduce Aversive Task Properties _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Page 5 of 8 Plan Creation Date: _______________________________ Organization Growth Plan Target Area(s) (determined via PDC-HS) with Specific Number(s): ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Long-Term Goal: ____________________________________________________________________________________ Recommended Intervention(s): ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Short-Term Goal: ____________________________________________________________________________________ Chosen Intervention to Implement: ____________________________________________________________________________________ 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? ____________________________________________________________________________________ ____________________________________________________________________________________ Page 6 of 8 Organization Growth Plan Who will initially present, explain, and train the intervention? ____________________________________________________________________________________ ____________________________________________________________________________________ Who will check-in and take data on intervention use and fidelity? ____________________________________________________________________________________ ____________________________________________________________________________________ How often will check-ins on intervention use and fidelity occur? ____________________________________________________________________________________ ____________________________________________________________________________________ Who will be on the intervention evaluation team? ____________________________________________________________________________________ ____________________________________________________________________________________ How often will the team evaluate intervention progress and fidelity? ____________________________________________________________________________________ ____________________________________________________________________________________ How will the results and feedback be presented to those involved in the intervention? ____________________________________________________________________________________ ____________________________________________________________________________________ Scheduled Date of Implementation: __________________________________ Page 7 of 8 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? / Comments: # of Steps Completed? / Comments: # of Steps Completed? / Comments: # of Steps Completed? / Comments: Comments: Page 8 of 8 # of Steps Completed? / Date of Feedback