CONTROLLING BUDGET PERFORMANCE APPRAISAL STAFF DEVELOPMENT QUALITY IMPROVEMENT DEFINITION • Performance is measured against predetermined standards and action is taken to correct discrepancies but these standards & actual discrepancies • 5th & final step DEFINITION • A plan using numerical data to predict activities of an organization over period of time & provides mechanism for planning & control & promoting each unit’s needs & contributions TYPES • PERSONNEL BUDGET – Largest of the budget expenditures • OPERATING BUDGET – Reflects expenses that change in response to volume of services • CAPITAL BUDGET – Purchase of buildings and major equipments not used in daily operations & more expensive than operating supplies METHODS • INCREMENTAL BUDGETING – Multiply current year expenses by inflation rate/ consumer price index • ZERO-BASED BUDGETING • NEW PERFORMANCE BUDGETING – Emphasize accountability, efficiency & economy by emphasizing outcomes & results instead of activities & outputs PERFORMANCE APPRAISAL DEFINITION • Determines how well employees carry out duties of their assigned jobs FACTORS • • • • Must be based on standards E must have input into dev’t of standard E must know standard in advance E must know sources of data gathered for appraisal • Appraiser should be someone who has observed E’s work • A should be someone who E trusts & respects STRATEGIES FOR ACCURACY • • • • Develop self-awareness on biases & prejudices Use appropriate consultation Gather data adequately over period of time Keep accurate anecdotal records for length of appraisal period • Collect (+) data & areas needing improvement • Include E’s own appraisal of performance • Guard vs. halo e, horns e, & central tendency trap TOOLS • • • • • • • • Trait rating scales Job dimension scales Behaviorally anchored rating scales Checklist – weighted scale, forced checklist, simple checklist Essays Self-appraisals Mgt. by objectives Peer eval STAFF DEVELOPMENT Comparison TRAINING • Organized method of ensuring that people have knowledge & skills for spec. purpose & that they have acquired the necessary knowledge to perform duties of job EDUCATION • Formal & broader; designed to develop in a broader sense THEORIES OF LEARNING • Androgogy & Pedagogy • Social learning theory – People learn thru direct experience – Knowledge obtained by observing someone else – People learned by judgment voiced by others – People evaluate new info thru deductive & inductive logic OTHER THEORIES • • • • • • • • Readiness to learn Motivation to learn Reinforcement Task learning Transfer of learning Span of memory Chunking Knowledge of results ASSESSING DEV’T NEEDS • To establish competence • To meet new learning needs • To satisfy interest staff may have in learning spec. areas • To meet new technological & scientific challenges HOW TO DEVELOP EDUC’L PROG • • • • Identify desired K/S staff should have Identify present level of K/S Determine deficit of desired K & S Identify resources available to meet needs • Make max. use of available resources • Evaluate & test outcomes after use of resources EVALUATION • Learner’s rxn • Behavior change • Org’l impact • Cost-effectiveness QUALITY CONTROL DEFINITION • Activities used to evaluate, monitor & regulate services rendered to consumers • Ensure quality while meeting intended goals AS PROCESS • The criterion/ standard is determined • Info is collected to determine if standard has been met • Educ’l/corrective action is taken if criterion has not been met AUDITS • Systematic & official exam of records, process, structure, environment or account to evaluate performance –Retrospective –Concurrent –Prospective TYPES • OUTCOME AUDIT – Determine what results occurred as result of spec. nsg. Interventions for pts • PROCESS AUDIT – Measure process of care/how care was carried out & assume that the rel. exists bet. The process used by the nurse & the qlty. care provided • STRUCTURE AUDIT – Rel. Exists bet. Qlty. Care & appropriate structure COMPARISON QA QI • Seeks to assure that quality currently exists • Process is ongoing & that quality can always be improved MODELS • TOTAL QUALITY MGT. – There is always room for improvement • TOYOTA PRODUCTION SYSTEM – Method of managing people engaged in work emphasizing frequent problem-solving & work redesign that has become the global archetype for productivity & performance THANK YOU…