194220 Reinvigorating performance evaluation: First steps in a local health department

Monday, November 9, 2009: 8:50 AM

Kathleen N. Smith, PHN, MSN, MPH , Division of Quality Improvement, Office of the Medical Director, Los Angeles County Public Health, Los Angeles, CA
Jeffrey Gunzenhauser, MD, MPH , Division of Quality Improvement, Los Angeles County, Los Angeles, CA
Jonathan E. Fielding, MD, MPH , Los Angeles County - Department of Public Health, Los Angeles, CA
The ability of a local health department to assess and improve employee performance through an effective evaluation process is critical to overall organizational success. A constructive performance evaluation process not only provides meaningful feedback on work performance, but also provides opportunities to reinforce work behaviors that support the organization's mission, to recognize exceptional work, and to guide future growth and learning. The Los Angeles County Department of Public Health is creating a new approach to performance evaluation that recognizes three distinct components of work performance: standard business practices, competencies, and standards of practice. This multi-dimensional perspective acknowledges that expectations of workers are complex and that evaluations of performance are not easily captured with single-dimension assessment tools. This presentation describes the conceptual relationships of these three components and how they integrate to form a single performance evaluation process. Key elements within this structure include a base document of competencies for all workers, expanded competency sets for professional staff, role-specific duty statements for workers who perform similar work, and standards of competent practice related to the mission of units to which individuals are assign. Key first steps are to define the terminology of performance evaluation and to create role-specific duty statements.

Learning Objectives:
Describe the elements of a performance evaluation process for a local health department. Define competency, standard, class specification, and duty statement. Explain the connection between an improved performance evaluation process and a competent and retained public health workforce.

Keywords: Workforce, Standards

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the medical director for the Los Angeles County Department of Public Health and provide oversight for the administrative offices of four public health disciplines: nursing, dentistry, health education, and public health investigation. These units provide direction for professional practice within the department.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.