1. SELF EVALUATION PEER EVALUATION PATIENT SATISFACTION UTILIZATION REVIEW & APPLICATION TO NURSING SERVICE

2. EVALUATION The term evaluation is derived from the word ‘valoir’ which means ‘to be worth’. Evaluation is the process of judging the value or worth of an individuals achievements or characteristics. Evaluation is a decision making process that leads to suggestions for actions to improve participants’ effectiveness and program efficiency.

5. To encourage individual professional growth in areas of interest to the employee

11. METHODS OF PEER EVALUATION Direct observation Videotaping Evaluation of course materials Analysis of portfolios

14. One copy of the peer evaluation shall be placed in the permanent personnel file of the person being evaluated

16. NEED FOR EVALUATING PATIENT SATISFACTION Data about patient satisfaction equips nurses with useful information about the structure, process and outcome of nursing care It is a requirement for therapeutic treatment and is equivalent to self therapy. Satisfied patients help themselves get healed faster because they are more willing to comply with treatment and adhere to instructions of health care providers, and thus have a shorter recovery time.

17. METHODS OF MONITORING PATIENT SATISFACTION Medical audit Quality assurance committee reviews Indices of nursing performances Judgemental method

18. COMPONENTS OF EVALUATION OF PATIENT SATISFACTION Evaluation of the programs and activities of various departments including outpatient care, inpatient care, overall health education activities of the hospital Evaluation of the various resources available in the hospital for effective health care Evaluation of effectiveness of hospital personnel including medical, paramedical, nursing as well as non-medical employees of the hospital. Services are relevant to the needs of the population it serves.

19. ULITILISATION REVIEW The utilisation review program includes determining appropriate hospital length of stay and necessary treatments for various illnesses and conditions and reviewing patient medical records on admission and at intervals during hospitalisation to ensure that the patient receives appropriate care.

20. AIMS AND OBJECTIVES The main aim is to curb the exploding health care costs with conservative use of hospitalisation and expensive diagnostic and treatment procedures. They work in liaison with a business organisation to provide healthcare services to the organisation’s employees at discounted rates. Cost containment to limit each patient’s diagnostic and treatment measures to the fewest, least expensive procedures that will relieve patient symptoms, avert costly complications, and return the patient to fullest possible function in the shortest time possible.

21. UTILISATION REVIEW NURSE A utilization review nurse is a RN who reviews individual medical cases to confirm that they are getting the most appropriate care. They can work for insurance companies, determining whether or not care should be approved in specific situations, and they can also work in hospitals. Members of this profession do need to possess compassion, but they also need to be able to review situations dispassionately to make decisions which are fair, even if they may be uncomfortable. At a hospital, a utilization review nurse examines patient cases if the hospital feels that a patient may not be receiving the appropriate treatment.

22. CONTD……. In an insurance company, the utilization review nurse inspects claims to determine whether or not they should be paid. The nurse weighs the patient's situation against the policy held by the patient, the standards of the insurance company, and the costs which may be involved in treatment. To work in this field, it is usually necessary to hold a current nursing license, and to have experience in the field.

23. APPLICATION TO NURSING SERVICES NEED FOR EVALUATION According to WHO, Evaluation of Health services, is the systematic process of determining the extent to which an action or sets of actions were successful in the achievement of predetermined objectives. It involves measurement of adequacy, efficacy, effectiveness and efficiency of the service being evaluated. It renders possible the reallocation of priorities, changes in the assessment of needs, the planning and implementation of care and the management of resources.

25. Evaluation of the Competence of the worker

26. Evaluation of Resources

28. CONTD…. Develop more reliable and valid instruments for measurement. Determine the overall value (eg: cost, efficiency) of undertaking for both participants and consumer immediately over long period. Establish and maintain standards to meet legal, professional and academic credentials.

29. TYPES OF EVALUATION Summative evaluation: It evaluates the progress towards an established outcomes. The summative evaluations focus on the achievements or lack of achievement of outcomes. A Summative Evaluation, on the other hand, looks at more than one learner's performance to see how well a group did. Formative evaluation: It analyzes the response to a specific intervention. Formative evaluations look at the particular pieces of the action plan and the relative importance to the whole. It is therefore tend to focus on the process of carrying out the action plan.

30. MODEL OF EVALUATION PROCESS Observing Measuring Programme actions Information Describing Relevance Relatedness Analysing Accountability Monitoring Development Synthesizing Validity of goods Worth of actions Recommending Evaluation Support& Constraints

31. Principles of Performance Evaluation Assess performance in relation to behaviorally stated work goals. Observe a representative sample of employees total work activities . Compare supervisors evaluation with employees self evaluation. Cite specific examples of satisfactory and unsatisfactory performance

32. CONTD…… Indicate which job areas have highest priority for improvement. Evaluation conference should be held in good atmosphere. The purpose of evaluation is to improve work performance and job satisfaction.

33. Tools of Performance Appraisal Trait rating scales(TRS) Job dimension scales(JDS) Behaviorally anchored rating scales(BARS) Checklists Essays Self appraisals. Management by objectives. Peer review-performance carried out by peers.

34. Evaluation as a function of Nursing Management : Fayol defined as “verifying whether everything occurs in conformity with the plan adopted, the instructions issued and principles established. It has for its object to point out weakness and error in order to rectify them and prevent recurrence”. Urwick defines controlling or evaluating as “seeing that everything is being carried out in accordance with the plan which has been adopted, the orders which have been given and the principles which have been laid down.

35. Controlling /Evaluating Techniques Nursing Rounds Nursing Operating Instructions Gantt Charts Critical Control Points and Milestones Program Evaluation and Review Technique (PERT) Benchmarking Master Control Plan Evidence-Based Management

36. Eg: Gannt chart

37. Eg: PERT

38. Eg: Benchmarking