Environmental Service - North Memorial Health Hospital



Performance DiscussionSelf-EvaluationTeam Member NameClick here to enter name.Team Member ID #Enter ID.DepartmentClick here to enter department.Due DateEnter date.TitleClick here to enter pletion DateEnter date.MissionEmpowering customers to achieve their best healthVisionTogether, health care the way it ought to beValuesRelationships | Accountability | InventivenessFoundational GoalsOne North | Unmatched Customer ServiceOur values and foundational goals guide our behavior and help us achieve our mission. When we understand and live our organizational philosophies, we act as a team and work toward the same goals. A critical component of our success is you. The annual performance discussion is an opportunity for you and your leader to discuss your performance over the past year, how you contribute to our mission, vision and values, your strengths and areas of development. This self-evaluation form will help you highlight your contributions and accomplishments for the year.Unmatched Customer Service:Here are some examples of how I brought unmatched customer service to work this year:Click here to enter text.Demonstrated Seldom (1)?Demonstrated Consistently (2)?Demonstrated Without Exception (3)?Vision:Here are examples of how I contribute to our vision Together, healthcare the way it ought to be:Click here to enter text.Demonstrated Seldom (1)?Demonstrated Consistently (2)?Demonstrated Without Exception (3)?For each corresponding value below, please check the box(es) in which you demonstrated these behaviors towards team members and customers.Inventiveness: Creative problem solving and thinking differently about what is possible.?Demonstrates ability to use creativity, inventiveness and imagination to enhance a situation or experience?Encourages others to be inventive to get to non-obvious solutions?Welcomes and leads change as a part of personal and organizational growth?Asks thought provoking questions?Committed to make things better by championing efforts towards change and improvements?Reevaluates and recommends changes to routine processes and systems with a fresh perspectiveExamples to support your selection(s) above (please be specific):Click here to enter text.Demonstrated Seldom (1)?Demonstrated Consistently (2)?Demonstrated Without Exception (3)?Accountability: Demonstrating ownership in the organization, holding both self and others accountable for the quality and experiences of customers and team members. Always focusing on empowering customers to achieve their best health.?Committed to the Mission, Vision and Values; takes initiative to do the right thing in the moment?Lifelong learner; pursues education and training beyond what is required for the job?Arrives on time, engaged and ready to work?Takes responsibility, and willing to answer for the outcomes resulting from choices, behaviors and actions?Displays professional courage in the face of adversity?Understands what’s expected and follows through?Stays up-to-date on communications and changes in the organization?Receives feedback, positive and constructive, from others and uses it to tap into personal potential and growth?Brings forward issues/concerns in a professional manner and generates solutions to problemsExamples to support your selection(s) above (please be specific):Click here to enter text.Demonstrated Seldom (1)?Demonstrated Consistently (2)?Demonstrated Without Exception (3)?Relationships: Connecting with others; engaging with customers and team members through strong communication, partnering and respectful interactions. ?Collaborates with team members and customers to deliver unmatched service?Actively engaged in all interactions?Fosters a positive work environment; demonstrates and maintains a positive attitude?Demonstrates empathy and understanding as a way of connecting with people?Provides factual, constructive feedback to others to help them to tap into their potential?Trusted by team members and leaders?Accepts and celebrates differences; makes every effort in relationship to “get” others and see their point of view?Listens actively and effectively; demonstrates genuine interest in understanding what the other person is thinking, feeling, or wanting; verifies or confirms understanding?Positive and professional in every interaction Examples to support your selection(s) above (please be specific):Click here to enter text.Demonstrated Seldom (1)?Demonstrated Consistently (2)?Demonstrated Without Exception (3)? My goals & projects that I was expected to achieve in the prior year were (optional):Click here to enter text. Here is what I achieved in the prior year (optional):Click here to enter text. As I reflect on my year, this is what I’m most proud of:Click here to enter text. What is something you would like to discuss further with your manager:Click here to enter text.My career aspirations are: X(Place an “x” next to any item that applies to you)?Further my development in present role ?Explore career advancement?Explore a different role in another area?OtherHere is why I chose the career option(s) above: Click here to enter text. ................
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