INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I, RHYS ANN P. CUSTORIO, of the Human Resource Development Unit, commit to deliver and agree to be rated on the attainment of the following targe
measures for the period January to June, 2018.

Name of Emp.

Approved By:

Name of Supervisor

RATING SCALE

Success indicator
Output Actual Accomplishment
(Target + Measure)

90% participation to DOH health programs as

Health Program scheduled 100% participation to DOH health programs as scheduled.

90% Assistance in the conduct of regular

monitoring and evaluation of various health
Monitoring and Evaluation
programs under the NHTS-PR as scheduled
100% Assistance in the conduct of regular monitoring and
evaluation of various health programs under the NHTS-PR
as scheduled

90% Prepared report on various health

programs under the NHTS-PR as scheduled 100% Prepared report on various health programs under
Report
with 1 revisions the NHTS-PR as scheduled with no revisions
 90% Prepared report on various health
programs under the NHTS-PR as scheduled 100% Prepared report on various health programs under
Report
with 1 revisions the NHTS-PR as scheduled with no revisions

90% Assistance to surveillance activities as

100% Assistance to surveillance activities as need arises
Surveillance Activity need arises

6 monthly report collected from assigned

health center 5 working days of the succeeding 6 monthly report collected from assigned health center 5
Data Collection
month working days of the succeeding month

6 health education activities provided among 12 health education activities provided among target
Health Education target population as scheduled population as scheduled

RATING

Total Overall Rating

Final Average Rating

Adjectival Rating

Comments and Recommendation for Development Purposes

Discussed With: Assessed by: Date Final Rating by:
I certify that I discussed my assessment of the perfomance with the
employee

Employee Supervisor Next Higher Supervis

Legend: 1- Quantity 2 -Quality 3 - Timeliness 4 - Average
 DOH - SPMS Form 3
REVIEW (IPCR)

ttainment of the following targets in accordance with the indicated

Date: June 8,2018

Date

5 – Outstanding
4 – Very Satisfactory
3 – Satisfactory
2 - Unsatisfactory
1 - Poor

RATING
ment QTY QLY T Remarks
A (4)
(1) (2) (3)

grams as scheduled. 5 N/A 5 5

gular monitoring and

under the NHTS-PR 5 N/A 5 5.00

alth programs under

5 N/A 5 5.00
h no revisions
 5 N/A 5 5.00

vities as need arises

5 N/A 5 5.00

gned health center 5

3 N/A 3 3.00
ding month

ided among target

uled 5 N/A 5 5.00

28 0 28 28.00

4.67 - 4.67 4.67

VS

Date
Final Rating by:

Next Higher Supervisor

 DOH - SPMS Form -

I. Performance Monitoring and Coaching

(Illustration showing a Sample Tracking Tool for Monitoring Targets)

Task Status
Major Final Assigned
Tasks Duration Remarks
Output to Week 1 Week 2 Week 3 Week 4

Test Item 1.1 Conduct of Test

Item Workshop
1.2 Review of Test
Items
Test Bank 2.1 Encoding of Test
Database Item
2.2 Updating of Test
Item Properties
2.3
Management/Mainte
nance of Test Bank
Database
Exam 3.1 Consultation with
Calendar and CSCRO's
Announceme 3.2 Preparation of
nt Calendar/Announce
ment
3.3 Presentation of
Calendar
/Announcement
Exam 4.1 Constitution of
Conduct Exam Commitees
Action Plan

4.2 Determination of
Testing Centers /Test
Administrators
 4.3 Preparation of
Budget Estimate
(Income and
Expenses)
Non- 5.1 Preparation of
Confidential Examiner's Manual
Examination 5.2 Reproduction of
Documents Examination
Documents
5.3 Dissemination of
Examination of
Examination
Documents
Processed 6.1 Review and
Examination Evaluation of
Application Application
6.2 Batching of
Application
 DOH SPMS Form - 8

J. Performance Monitoring and Coaching

(Illustration showing a Sample Tracking Tool for Monitoring Assignments)

Performance Monitoring Form

Task ID No. Subject Action Output Date Date Remarks
Officer Assigned Accomplished
Documents No. Subject Area of the Task Date the task Date the Output
or Task No. If or the Signatory of the was assigned was approved by
Taken from Documents and Subject to the draffter the approver
WFP Area
 DOH-SPMS Form - 9

Perfomance Rewarding and Development

(Illustration showing a Professional Development Plan Template)

Professional Development Plan

Date:

Target Date

Review Date

Achieved Date

Aim

Objective

Task Next Step

Commets
Professional Development Plan

Date
Aim

Objective

Target Date
Review Date
Achieved Date
Commets

Task
Outcome

Next Step