University of Colorado Denver | Anschutz

Performance Planning, Evaluation and Rating Form University Staff/PRA

PART I

Evaluation Period: 07/2020 To: 12/2020

Employee Name: Ashley Pratt-Cordova Employee ID : 323631

Job Title: PRA Position #:

CCTSI
Department:
Supervisor : Diana Flores

If the employee has multiple positions, does this performance rating apply to all positions?
YES NO

The employee’s job description is accurate and the employee has a copy. DEF (supervisor’s initials)

Performance Planning Signatures

2/23/2021
Employee:_____________________________________ Date: ________________________

2/22/2021
Supervisor:____________________________________ Date: ________________________

This signature indicates that the employee and supervisor have discussed the performance plan and
the employee has received a copy of the plan.

PART II

Evaluation Goals/Key Responsibilities

These include key responsibilities and basic competencies. Rate each factor based on performance during the period
identified above.

Key Responsibilities Specific To This Job

Goals/Key Responsibilities Rating Comments
Specific To The Position
(add more rows if necessary)

Goal or objective: 5% Ashley has completed a consent draft

Regulatory tasks: and manages the regulatory binders for
- Portal/IRB submissions 5 4 3 2 1 all endocrinolgy and ILD studies making
- Informed consent drafting sure everything is up to date with the
- Filing of regulatory documents (in drive and in binder) newest ammendments.
- Remote monitoring visits Ashley has completed closeout
Measurement method: monitoring visits even while working
Develop performance metrics for time and accuracy remotely.
Ensure timely and complete submissions per IRB, investigator, etc input.

Goal or objective: 25% Ashley follows up with subjects to ensure

Data collection and management data collection. Some studies require
- Surveys/questionnaires 5 4 3 2 1 follow up several times per week and
- Data entry Ashley calls them to get their
- Sample collection, processing, shipping questionnaires completed. Data entry in
- Prescreening Chart Review EDCs and source documents are
Measurement method: complete same day or next day.
Ensuring timely data collection, documentation, response to queries, Monitor's queries are complete within a
including queries from monitor in addition to EDC auto queries week of notification. When sample
Sample handling and processing per protocol collection, processing, and shipping
Proactive time management to perform as many visits as possible occur, they are done accurately and
completely.

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Goal or objective 15% Ashley arrives to meetings on time and
Administrative tasks communicates a few days earlier if she
- Meetings 5 4 3 2 1 knows she won't be able to attend. If
- SOP development and review meetings are cancelled, she provides the
- Training and coaching agenda and any detailed notes so
- Documentation of activities (including OnCore and EPIC) information is passed along. Ashley
- Up-to-date metrics reviews and trains on CReST and other
- Key document creation and management relevant SOPs.
Measurement method: Ashley has created and updated source
Take responsibility for your own suite of tasks/studies documents, tracking logs and other key
study documents.
Since our team is growing and changing,
Ashley has been implemental in training
and mentoring other team members to be
competent on muliple studies.
Research visits are documented within
24 hours in OnCore and Epic and visits
are linked appropriately.
Ashley has created several documents
for studies such as source for GIFT
therapy sessions, mp3 player handoffs,
and notes to file. She also creates and
keeps track of screening and enrollment
logs, contact logs, and sheets that track
survey completion status.

Goal or objective: 25% In recruitment, Ashley is assertive but

Participant and study team interactions does not pressure the patients. She
- Recruitment and Scheduling study visits 5 4 3 2 1 ensures they understand the study and
- Proactive communication with study team re updates, agendas, answers any questions or doubts they
deviations, etc have about participating. In scheduling
- Follow-up communication with participants visits, she considers everyone's time and
- Prescreening with Patients lessens the burden on the subject by
Measurement method: making visits convenient for them. Any
Professional, courteous, and timely communication time Ashley has an interaction with a new
Going the “extra mile” to insure participant satisfaction subject or someone who has declined
Ensuring study teams are promptly updated on any issues, changes, etc participation she communicates with the
Proactive study updates to study teams PI and the study team. Ashley
Feed-back to participants documents points of contact and once
Sharing best practices and expertise with study teams subjects are scheduled, she calls again
3-7 days before their appointment as a
reminder and to ask any questions they
have about procedures, timeline, and
directions. Ashley is consistently
professional and courteous.

5 4 3 2 1

5 4 3 2 1

5 4 3 2 1

Core Competencies (as relevant)

Factors Rating Comments

Ashley involves others such as the PI

Problem Solving / Decision Making
5 4 3 2 1 and another study team member when
The employee takes initiative to identify problems; conducts
making decisions on their study. This
comprehensive analyses of complex issues; involves others in seeking
way, the study is carried out the way the
and evaluating solutions; makes clear, consistent, transparent decisions in
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a timely manner; acts with integrity in all decision making; distinguishes PI envisions. Ashley has integrity and
relevant from irrelevant information; and accepts challenges due to does not allow patients to be pushed into
changing conditions, situations and work responsibilities. participating in studies, even if providers
and PI's want them to consent. Situations
can vary on a daily basis and she is
trained to adapt and think quickly.

Communication and Interpersonal Skills Ashley is always professional and

The employee interacts with everyone in a courteous and respectful 5 4 3 2 1 courteous to study teams and patients
manner; actively listens; clearly and effectively shares information; alike. She communicates clearly what is
demonstrates effective oral and written communication skills; and relevant and necessary--especially when
consistently presents him/herself in a constructive and professional drafting agendas and emails.
manner.

Collaboration/Teamwork Ashley collaborates well with our team

The employee cooperates and collaborates with colleagues as 5 4 3 2 1 and other groups on campus that we
appropriate; supports the goals and values of the unit; shares interact with. She is a team player and is
responsibilities and enhances team morale; understands how his/her comfortable taking the lead to get things
individual role contributes to the success of the unit; and ensures that done.
working relationships with others reflect respect for differing approaches.

Customer service over the phone and

5 4 3 2 1 face to face is personable and helps the
patient feel more at ease. Ashley follows
Customer Service up with subjects to either confirm
The employee anticipates and meets customer needs; communicates appointment times and give them
effectively with internal and external clients; builds relationships with answers or to reschedule a visit. She
constituents; follows through with commitments in a timely manner; and also politely reminds subjects to fill out
values the importance of delivering quality customer service to clients. their surveys and make sure they are not
experiencing any technical issues. She
addresses barriers to overall participation
and survey completion once enrolled.

Inclusiveness Ashley shows respoect for everyone and

The employee shows respect for people and their differences; promotes 5 4 3 2 1 contributes to a great community.
fairness and equity; fosters a sense of belonging; contributes to building a
community of openness and inclusiveness; and supports an environment
that is welcoming to all.

Ashley is accountable for team and

Accountability 5 4 3 2 1 individual tasks and works independently
The employee promotes professional, ethical and compliant work to complete everything that is assigned to
standards and behaviors; represents the unit in a credible manner; her.
complies with university and departmental policies; protects university She asks questions when she doesn't
assets; accepts constructive criticism and takes ownership and fully understand a request or task. She
responsibility for his/her work; and does not abuse work schedule or leave shows the desire to know more about
practices. behind the scenes tasks.
Ashley takes her work seriously and does
not abuse leave practices.
Supervision (if applicable)
The supervisor uses an appropriate/effective management style; N/A
encourages employees to develop to the fullest potential; develops 5 4 3 2 1
performance plans and conducts annual evaluations in a thoughtful and
fair manner and in compliance with university policies; provides honest
and on-going feedback; supports employee training, development and
recognition; utilizes employee skills effectively; and seeks appropriate
solutions to resolve personnel issues.
Leadership (if applicable)
The employee promotes professional and ethical work standards and N/A
behaviors; cultivates a standard of excellence that inspires and motivates 5 4 3 2 1
employees; leads by example; develops trust and credibility; fosters
positive morale; and aligns individual and programmatic goals to the
university’s mission and goals.

Strategic Planning and Organizing (if applicable) N/A

The employee understands the department’s role within the context of the 5 4 3 2 1
university’s vision, mission and values; aligns priorities and resources with
broader goals; seeks input and evaluates options; measures outcomes;
and manages projects to completion.

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Fiduciary (if applicable) N/A
The employee complies with university financial policies, laws, rules; 5 4 3 2 1
protects university assets; and maintains continuous assessment of
record-keeping procedures and internal controls

Evaluation Summary
Please provide additional comments about the employee’s areas of strength, areas for improvement and
plans for professional development.
Strengths:
Effective communiticator, attentive, asks for help/ clarification when needed, engaged in team meetings.

-Demostrates professionalism with subjects, advocating for subjects when concerns or questions arise

Areas for Improvement:

Time management,
-relates to billing, hard to focus on one task at a time when communication from other projects come through

Plans for Professional Development:

Interested in learning more about the different types of studies and regulatory. Regulatory is the next step as a
coordinator.

Overall Performance Rating

(not to be used in lieu of public rating form)

5 - Outstanding: Far exceeds performance expectations on a consistent and uniform basis. Work is of
exceptional quality in all essential areas of responsibility. In addition, makes an exceptional or unique
contribution in achievement of unit, department, and University objectives

4 - Exceeding expectations: Always achieves performance expectations and frequently exceeds them.
Demonstrates performance of a very high level of quality in all areas of responsibility.

3 - Meeting expectations: Consistently fulfills performance expectations and periodically may exceed them.
Work is of high quality in all significant areas of responsibility.

2 - Below Expectations: Frequently fails to meet expectations and improvement is needed in these areas.

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 1 - Fails to Meet Expectations: Consistently fails to meet expectations and improvement is needed in most
aspects of position

Performance Evaluation Signatures

Employee:_____________________________________ Date: ________________________

02/23/2021
Supervisor:____________________________________ Date: ________________________

This signature indicates only that the rating has been discussed with the person rated and does not
necessarily imply agreement. The person rated is to receive a copy of the signed form.

To be compliant with APS 5008 and 5009, the single page rating form must be submitted to the Human
Resources Office. These forms are found at:

• PRA:
http://www.ucdenver.edu/about/departments/HR/Documents/OpenRecordsForm-Faculty2013.pdf

• University Staff:
http://www.ucdenver.edu/about/departments/HR/Documents/University_Staff_Performance_Rating_F
orm.doc

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