INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I,_________Robelyn B. Oco______________ of the KAPATAGAN PROVINCIAL HOSPITAL commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated
measures for the period January- June 2022

Ratee Date
Date:

Reviewed by:

Date REMEDIOS B. FERNANDEZ,MD Date

Chief of Hospital

5 – Outstanding
4 – Very Satisfactory

RATING
SCALE
3 – Satisfactory
2 - Unsatisfactory
1 - Poor

Semestral
Semestral
Target
Rating
MFO/PAP SUCCESS INDICATORS (TARGETS + MEASURES) Target Actual Accomplishments Points Remarks
Points
earned Q E T A
STRATEGIC PRIORITY

CORE FUNCTIONS
 0.00 Average PS for CF >>
SUPPORT FUNCTIONS

0.00 Average PS for SF >>

0.00

80% Core Functions, and 20% Support Functions

 Average
Category MFO % weight WAPS
PS
SP
Core Function
Support Function
Final Average Rating
Adjectival Rating

Comments and Recommendation

for Development Purposes
Discussed with Date Date Final Rating Date
REMEDIOS B. FERNANDEZ
Employee Head of Office

Reviewed by: Noted:

LICENIA OGANG
HRMO-III EUGENIE P. PUSING
PHRMDO
 EMPLOYEE'S OUTPUT RATING

Rating Period: January - June 2022 Date of Evaluation: ______________________________

Name of Employee:
Position:
Points (from
Output the Reference Target Accomplishment/Reported Evaluated
Table) Total Actual Points
Demerit Earned
Quantity Target Points Actual Points Earned Quantity Total Points
Quantity Earned
(A) (B) (C)=(A-B)x2 (D) = B-C
STRATEGIC PRIORITY

CORE FUNCTIONS

SUPPORT FUNCTIONS

TOTAL POINTS - SEMESTER

Submitted by: Concurred by: Evaluated by:

NAME & SIGNATURE OF EMPLOYEE NAME & SIGNATURE OF EMPLOYEE Name & signature of Evaluator