DOH - SPMS Form 3

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I, NAFISA SAIVE B. CORNELL, MEDICAL TECHNOLOGIST I,of the Department of Pathology and Laboratories, agree to be rated on the attainment of the following accomplishments in accordance with the indicated measures for the period .

NAFISA SAIVE B. CORNELL, RMT

Medical Technologist I
Approved By: Date: 1/09/2023

CHARITO A. MAATA, RMT, MPA

Chief Medical Technologist

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

Actual Accomplishment
Accomplishment Rate
RATING
SUCCESS INDICATOR (Actual
Output
(Targets + Raw Data (if Accomplishment E T A Remarks
Actual Accompisment Q (1)
Measure) applicable) /Target x 100%) (2) (3) (4)

Strategic Functions (40%)

Ensure 100% attendance to PGS activities not later than N:

PGS Compliance
DECEMBER. D:
Ensure 100% attendance to PRIME-HRM activities not later N: Attended the PRIME-HRM orientation last march 1,
PRIME-HRM Compliance 100.0% 5.0000 5.0000 5.0000 5.0000
than JUNE 2023. D: 2022.
Average Rating (Strategic Functions) 5.0000
Core Functions (50%)
N: 1,108
Receive and examine 796 test for routine Hematology with
less than 0.01% error rate and 95% of the tests release 1108 Received and tested samples for routine
Routine Laboratory Test 146 %
within the turn around time of 2 hours at the end of 6 D: 796 Hematology testing
months period.

Receive and examine 2173 test for routine chemistry with 2,597
less than 0.01% error rate and 95% of the tests release Received and tested 2597 samples for routine
126%
within the turn around time of 2 hours at the end of 6 chemistry testing
months period. 2,173

Received and examined 979 samples for

Receive and examine 468 test in Immunology & Serology N: 979 Immunology & Serology testing, specifically Dengue
specifically Dengue Test, Typhidot, HbsAg and Anti-HCV Test, Typhidot, HbsAg and Anti-HCV
with less than 0.01% error rate and 90% of the tests release 232%
with in the turn around time of 3 hours at the end of 6
D: 468
months period.

N: 495
Clinical Microscopy 304 test request receive and examine Clinical Microscopy 495 received and examined for
for routine Urinalysis,Fecalysis,Occult blood and pregnancy routine Urinalysis,Fecalysis,Occult blood and 162%
test at the end of 6 months period. D: 304 pregnancy test.

N: 4,684
Collects 3237blood samples for routine laboratory test in Collected 4684 blood samples for routine laboratory
144%
reception area and wards. test in reception area and wards.
D: 3,237

Stat laboratory 600 tests in wards with less than 0.01% N: 670
STAT Laboratory Request error rate and 95% of the tests release witihin the turn Stat laboratory 650 tests done in wards. 111%
 Stat laboratory 600 tests in wards with less than 0.01%
STAT Laboratory Request error rate and 95% of the tests release witihin the turn Stat laboratory 650 tests done in wards. 111%
around time of 1 hour. D: 600

Performs 100% internal quality checks in the section N: Performed 100% internal quality checks in the
Quality Standard Compliance 100%
without error every shift. D: section without error every shift.

Working area cleaned, reagent and
supplies prepared, Glasswares
washed and dried
N:
100% cleaned of working area done, preparation for
100% cleaning of working area, preparation for needed
needed materials,reagent and supply for the day
materials,reagent and supply for the day before and after 100%
D: before and after shift,and wash and dry glassware
shift,and wash and dry glassware used.
used.

Average Rating (Core Functions)

Support Functions (10%)
N:
Submitted 2 IPCRs as required w/ no more than 2
Submit IPCR, SALN, PDS and other documentary
revision, within the prescribed
Documentary Requirements requirements as required with no more than 2 revision, 100% 5.0000 5.0000 4.0000 4.6666
D: deadline/accomplishment for JULY TO DECEMBER
within the prescribed deadline.
2022 and Target for JANUARY TO JUNE 2023

Attendance to atleast 1 Formal/Non-Formal Training, N: No Formal/Non-formal Training, seminar, lecture due

Capacity Building of staff 100% 5.0000 5.0000 5.0000 5.0000
seminar, Lecture etc. D: to pandemic.
Average Rating (Support Functions) 4.8333
RATING
Average
Final Rating per Function (Average Rating x
Function Percentage Distribution Rating per REMARKS
Percentage Distribution
Function
Strategic Functions 40% (0% if No Strategic Indicators)
Core Functions 50% (70% if No Strategic Indicators)
Support Functions 10% (30% if No Strategic Indicators)

Final Average Rating

Adjectival Rating
Comments and Recommendation for Development Purposes:
Discussed With: Assessed by: Date Final Rating by: Conforme: Date
I certify that I discussed my assessment of the performance with the
employee
1/09/2023 1/09/2023
NAFISA SAIVE B. CORNELL, RMT CHARITO A. MAATA, RMT, MPA ASLIA M. MAPANDI, MD, FPSMS, DPSP MOAMAR M. CASIM, MD, FPCS, FPSO-HNS
Medical Technologist I Chief Medical Technologist Head, Department of Pathology and Laboratories Chairperson, Performance Management Team

Legend: 1- Quality 2 -Efficiency 3 - Timeliness 4 - Average