A performance evaluation system for primary care providers in a community health services program.
A performance evaluation system (PES) serves to motivate employees to provide desired behaviors that achieve organizational objectives. In 1989, Denver Health and Hospital (DHH), a publicly funded, integrated delivery system with a large primary care program, instituted a new PES. This report summarizes performance evaluation results for DHH's community health center program. The evaluation focused on the performance of primary care physicians, midlevel practitioners (i.e., physicians assistants, nurse practitioners, and dentists), over a 4-year study period (1990 to 1993). Category-specific performance ratings were based on a 5-point ordinal scale: unacceptable, expectations not met, meets expectations, exceeds expectations, and outstanding. Performance ratings were analyzed as variables that were dependent on several practice characteristics. Results demonstrated a relationship between performance ratings and specific practice characteristics. Based on the results, limitations of the new PES and implications for designing more effective evaluation systems are discussed.
Wright
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Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, Boulder, USA.
D003120:Colorado; D003151:Community Health Centers / Q000592:standards; D003153:Community Health Services / Q000592:standards*; D019033:Delivery of Health Care, Integrated; D003815:Dentists / Q000592:standards; D004650:Employee Performance Appraisal / Q000379:methods*; D006786:Hospitals, Urban; D009722:Nurse Practitioners / Q000592:standards; D010823:Physician Assistants / Q000592:standards; D010820:Physicians / Q000592:standards; D011320:Primary Health Care / Q000592:standards; D016730:Program Development; D000078329:Workforce