The Caregiver Performance Evaluation Form is essential for organizations and individuals employing caregivers in the Philippines. It is designed to meet the requirements of Republic Act No. 10361 (Batas Kasambahay) and related healthcare regulations while providing a structured framework for assessing caregiver performance. The document should be used for regular performance reviews (typically quarterly or bi-annual) to evaluate caregivers' technical competencies, interpersonal skills, and compliance with safety protocols. It includes sections for objective assessment, development planning, and feedback documentation, making it suitable for both institutional healthcare settings and private employment arrangements. The form helps maintain professional standards in caregiving while protecting both employer and employee interests under Philippine law.
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1. Employee Information: Basic details of the caregiver including name, employment date, position, and registration details as per Batas Kasambahay
2. Evaluation Period: Time period covered by the evaluation and evaluation date
3. Performance Rating Scale: Explanation of the rating system used (typically 1-5 or similar scale with detailed descriptions of each level)
4. Core Competencies Assessment: Evaluation of fundamental caregiving skills including patient care, medical assistance, and safety protocols
5. Behavioral Competencies: Assessment of soft skills including communication, reliability, and interpersonal relationships
6. Safety and Compliance: Evaluation of adherence to health and safety protocols, medication management, and emergency procedures
7. Overall Performance Summary: General assessment of the caregiver's performance including strengths and areas for improvement
8. Signatures and Acknowledgment: Space for evaluator and employee signatures, dates, and any comments
1. Goal Setting: Section for establishing new performance goals and objectives - include when the evaluation is part of a formal development program
2. Training Needs: Assessment of required training or skill development - include when professional development is part of the employment agreement
3. Client/Patient Feedback: Summary of feedback from care recipients or their families - include when multiple stakeholders are involved in the evaluation
4. Attendance Record: Review of attendance, punctuality, and time management - include when there are specific concerns or requirements regarding attendance
5. Language Proficiency: Assessment of communication skills in required languages - include when working with clients requiring specific language abilities
1. Performance Metrics Guide: Detailed descriptions of each performance criterion and how they should be evaluated
2. Skills Checklist: Comprehensive list of required technical skills and competencies specific to the caregiving role
3. Development Plan Template: Standard format for documenting agreed-upon development activities and timeline
4. Incident Report Log: Record of any significant events or incidents during the evaluation period that affected performance
5. Previous Evaluation Summary: Summary of past evaluations for tracking progress and patterns
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Home Care Services
Elderly Care
Medical Services
Social Services
Disability Care
Rehabilitation Services
Residential Care
Relevant Teams
Human Resources
Healthcare Administration
Quality Assurance
Clinical Operations
Patient Care Services
Performance Management
Training and Development
Compliance
Employee Relations
Relevant Roles
Healthcare Manager
HR Manager
Care Coordinator
Nursing Supervisor
Home Care Administrator
Medical Director
HR Specialist
Healthcare Facility Administrator
Caregiver
Personal Care Assistant
Domestic Care Supervisor
Quality Assurance Manager
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