Zero Hour Review Form Name: Associate ID #: Position/Title: Department/Cost Center: Facility: Manager: Review Date: / / Review Period / / to / / Advocate Health Care is committed to the personal and professional development of all associates. The Performance Pathways process is intended to provide a structured process for managers and associates to share expectations about performance and behavior and to partner in providing feedback on the development of short- and long-term learning goals. This form should be used exclusively for zero-hour associates. This form includes two sections that need to be completed for each associate by the manager. The third section is an overall assessment of performance that is generated by the system from the manager’s ratings on the first two sections. 1) Review of job accountabilities, as defined on the associate’s job description, 2) Review of performance on Living Our Values through the Behaviors of Excellence, 3) Overall assessment of performance. If applicable, annual operating unit or clinical competencies may be due at the time of this performance review, so ensure that the associate has completed them and submit all documentation to the appropriate parties. The Zero Hour Review Form must be completed and submitted online through Manager’s Desktop. SECTION 1 – JOB ACCOUNTABILITES: For each Job Accountability listed in the job description, consider the associate’s performance (i.e., quality, quantity, timeliness, etc.) on objectives, work assignments, results, and/or projects. In the spaces below, please include behaviorallybased comments that focus on significant outcomes or achievements and areas for continued development. The job accountabilities, as outlined in the job description, have been reviewed with the associate with the following areas noted: Significant outcomes and achievements: Opportunities for development: JOB ACCOUNTABILITIES SUMMARY: Based on the entire period under review and the feedback provided above, please rate the associate’s overall performance on Job Accountabilities. Does Not Meet Expectations Approaching Expectations Meets Expectations Revised 6/6/2014 Exceeds Expectations Significantly Exceeds Expectations SECTION 2 – LIVING OUR VALUES THROUGH THE BEHAVIORS OF EXCELLENCE: Advocate has established a common set of behavioral standards that everyone in the organization is expected to model. These Behaviors of Excellence (BOE) are aligned with our Mission, Values and Philosophy (MVP) and specifically outline how we demonstrate our values in action. Our commitment to these behaviors will help create an Advocate Experience that provides the best place for our patients to heal, physicians to practice and associates to work. The Behaviors of Excellence include Be Responsive, Be Respectful, Be Professional, Be Accountable, Be Collaborative, and Be Safe. Your review should be based on the standard behavioral descriptions of associate performance in the Rating Tool document. In the spaces below, please include behaviorally-based comments that focus on significant outcomes or achievements, as well as opportunities for development. Significant outcomes and achievements: Opportunities for development: BEHAVIORS OF EXCELLENCE SUMMARY: Based on the entire period under review and the feedback provided above, please rate the associate’s overall performance on Living Our Values through the Behaviors of Excellence. Does Not Meet Expectations Approaching Expectations Meets Expectations Exceeds Expectations Significantly Exceeds Expectations SECTION 3 - OVERALL RATING: The Overall Rating is automatically calculated based on the above section ratings for job accountabilities and behaviors of excellence. It cannot be modified. Does Not Meet Expectations* Approaching Expectations* Meets Expectations Exceeds Expectations Significantly Exceeds Expectations *Contact your local Human Resources department for assistance. Completion of this period does not confer an employment contract nor guarantee a definite period of employment. Revised 6/6/2014