Clinical Care CoordinatorRN Peer Input Tool for Annual Evaluation: Systems Thinking

Peer feedback for(RN name):

Directions:

  • Evaluatee to send domainportions to peers who evaluatee would like feedback from
  • Clinical Thinking and Judgment domain is to be completed by another RN
  • Peers should indicate within the last column the level they feel is appropriate for the Evaluatee on each row
  • Peers are encouraged to support their views with concrete examples
  • Peers should complete the peer review within 7 Days and return electronically to the Manager/Designee and Evaluatee

Role Entry / Competent / Expert / Mastery / Peer Should Designate Appropriate Level Below
DOMAIN: Systems Thinking: Appreciating the care environment from a perspective that recognizes the interrelationships that exist within and across health-care settings.
Evaluates and responds to a range of issues within the larger system / Networks with other departments and external constituencies to address issues / Applies data analysis to improving the patient experience and influence system-wide change
Reviews data and relates it to practice / Assesses and analyzes data utilizing systems thinking and perspective / Improves partnerships and functions as a liaison to accomplish therapeutic goals
Articulates the organizational mission, vision, and values / Collaborates within a multidisciplinary system / Functions as a visionary for the future advancement of the program
Recognizes the interrelationships that exist across our system / Embraces and supports change, innovation and opportunity / Takes a leadership role in identifying the need for potential use of innovative technologies
Articulates a broad awareness of program direction / Assumes leadership in unit/area Professional Practice Model / Works to create new tools for patient care
Integrates technology into practice / Determines need for modification of existing technology / Creates and disseminates practice changes to ensure a sustained change across the system
Please describe a time when you saw me at my very best. What qualities did I display in this domain?
Please provide your input regarding opportunities for my personal and/or professional growth
I have completed the Peer Feedback Class as required by the UMPNCcontract, paragraph 28E, for participation in the peer review process.
Name: / Date:

Revised 7/2015 Professional Development Framework RSAM Steering Committee/JIT Approved.

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