Our Vision UPMC will lead the transformation of health care. The UPMC model will be nationally recognized for redefining health care by:

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C.M. excerpts of self evaluation, 1/7/2015. Please note: comments related to professional development goals are highlighted. Performance Document - Annual Performance Review Self-Evaluation Rebecca Hirt, Professional Staff Nurse, BSN Annual Performance Review, 01/08/2014-01/07/2015 Author: Rebecca Hirt Role: Employee Status: Completed Due Date: 01/07/2015 Our Mission UPMC's mission is to serve our community by providing outstanding patient care and to shape tomorrow's health system through clinical and technological innovation, research, and education. Our Vision UPMC will lead the transformation of health care. The UPMC model will be nationally recognized for redefining health care by: Putting our patients, health plan members, employees, and community at the center of everything we do and creating a model that ensures that every patient gets the right care, in the right way, at the right time, every time. Harnessing our integrated capabilities to deliver both superb state-of-the-art care to our patients and high value to our stakeholders. Employing our partnership with the University of Pittsburgh to advance the understanding of disease, its prevention, treatment and cure. Serving the underserved and disadvantaged, and advancing excellence and innovation throughout health care. Fueling the development of new businesses globally that are consistent with our mission as an ongoing catalyst and driver of economic development for the benefit of the residents of the region. Section 1 - Values Caring and Listening Dignity and Respect Excellence and Innovation 1

Quality and Safety Responsibility and Integrity Values Summary Comments: After reading all of the descriptions for these areas under each domain, I have determined that I would be considered a Top Performer because many people do come to me for help, I was chosen and completed the Preceptor Academy this year to assist with effectively precepting and training new staff members. I do have a high potential for advancement and I think of the "big picture" consistently Section 2 - Goals Patient Satisfaction/Responsiveness of staff Departmental Goal (05/08/2014-07/01/2015): Throughout the next review period, you will respond to call bells and participate in the No Pass Zone initiative with consistency. This will be measured by observation and callbell response time audits, and by consistent improvement in the unit s HCHAPs scores within the Response of Hospital Staff Domain. Patient-Centered Communication Departmental Goal (05/08/2014-07/01/2015): Throughout the next review period, you will be responsible to update and fully utilize the white communication boards with consistency. This will be measured by observation and bedside shift report audit tools, and by consistent improvement in the unit s HCHAPs scores within the Communication with Nurses Domain. Patient/ Nurse Communication 2

Departmental Goal (05/08/2014-07/01/2015): Throughout the next review period, you will consistently participate in bedside shift report that includes interaction with patients. This will be measured by observation and bedside shift report audit tools, and by consistent improvement in the unit s HCHAPs scores within the Communication with Nurses Domain. Goals Summary Comments: I gave myself superior performer in these goals because they are all goals and everyone has room for improvement in these areas of making the floor run smoother. These goals also depend on the participation on my coworkers and though I attempt to be consistent with these initiatives, I also must rely on their participation. I keep trying though! Section 3 - Responsibilities Transformational Leadership 1 Demonstrates accountability for professional development that improves the quality of professional practice and the quality of patient care. Actively participates in unit-based shared governance, goal setting and supports the change and transition process to improve quality of care and the practice environment. Serves as a highly engaged and full partner on the care team and responds willingly to care team member needs for assistance and partnership. Participates in work that improves patient care and the professional practice environment. Adapts to change and demonstrates flexibility with the change process. Professional Practice 1 Applies the nursing process within the framework of Relationship Based Care to create a healing environment. Formulates daily goals and a plan of care for patients that involves the patient as partner and considers the individual needs of the patient in a holistic manner. Demonstrates critical thinking in the identification of clinical, social, safety, psychological and spiritual issues for the patient care within an episode of care. Practices solid communication skills, and is able to articulate and translate the patient's condition to other care providers and to negotiate and make recommendations for changes in patient care and unit practices. Patient documentation is comprehensive and promotes communication between caregivers. Incorporates national professional organization as well as business unit and health system's goals to improve patient safety, quality and satisfaction. Creates a caring and compassionate patient focused experience by building healing relationships with patients, families and colleagues. Structural Empowerment 1 3

Demonstrates knowledge of adult learning principles (and/or teaching children if applicable) and applies in teaching of patients, families, students and new staff. Provides detailed and appropriate teaching to patients and families to effectively guide them through the episode of care as well as transition to another level of care and/or home. Supports the development of students, new staff and colleagues, may serve as a preceptor. Creates an environment of open dialogue, inquiry and continuous development by asking for feedback and improving practice. Quality & Innovation 1 Actively participates in department or unit-specific quality improvement efforts. Identifies opportunity for quality improvement to colleagues and management. Takes personal responsibility in improving patient satisfaction with the quality of care and service. Utilizes research and evidence-based practice to support improvement in clinical care: identifies research issues or articles related to clinical specialty or areas of interest, discusses opportunities for quality improvement at multidisciplinary rounds, and influences patients' plans of care. Healthy Workforce 1 Develops and maintains productive working relationships internally and externally by demonstrating accountability for actions, enthusiasm, motivation and commitment to patients and colleagues. Demonstrates an understanding of cultural differences and holds peers accountable for healthy relationships. Maintains a conscious balance between work and personal life. Models safe work hours, time management and healthy lifestyle. Communicates with peers and management any safety hazards identified in the workplace. Responsibilities Summary Comments: Professional development = BSN Professional Practice = PPC, multiple Above & Beyond Nominations, ACES award recipient Structural Empowerment = persistent patient teaching and completion of the Preceptor academy, I also reach out for management input in situations that I found difficult to handle as to keep an open dialogue and grow professionally through those difficulties Quality & Innovation = I consistently attempt to determine a problem then produce a solution. I instituted the front hall calendar as an initiative to assist with the dissatisfaction of the front hall assignment in an attempt to show evidence that the front hall assignment is being distributed among staff members. I also willingly participate in all patient care improvement initiatives Healthy workforce = I have personally reduced the amount of after shift overtime that I have obtained in previous years, I have good relationships with my coworkers inside and outside of the work environment and I am one of the staff members that people are usually happy to be working with. 4

Section 4 - Overall Summary Summary Comments: As a professional as well as a person, there is always room for improvement. So as a person, there are things that I need to work on that will benefit me as a professional. Communication skills in frustrating situations is one that I will continue to work, I will obtain my med surg certification this year to pursue my professional development. I will continue to work on my time management skills and further reduce my after shift overtime. I will also continue to lead the professional experience board for staff updates as they are available. 5