Performance Improvement Plan

Employee’s Name

Delores

Job Position

Director of Nursing

Position Roles and Responsibilities

As the director of nursing, you are responsible for managing and overseeing all functions of the facility’s nursing staff. You are also responsible for care services provided to all patients within the facility, including other administrative roles related to nursing care, such as supervision of nurses, and ensuring the nursing department has its set goals, objectives, policies, and roles clearly outlined. You are also expected to ensure that all department records are up-to-date and be constantly in touch with the nurses to determine and resolve any issues within nursing care. You are also expected to check on the nurses’ performance and ensure they meet the facility’s ethical and operational quality standards regarding patient care. Most importantly, you are responsible for maintaining a strict budget within the set limits of your department.

Date: 16 February 2023

Reason for Performance Improvement Plan

This performance improvement plan aims to define the issues in your current behavior as the facility’s director of nursing and provide you with an opportunity to address these behaviors, improve your work behavior, and meet the roles and responsibilities as a senior employee of the facility.

Situations and Concerns Identified in Your Work Behavior and Performance

As we had discussed in our previous meeting with you and the Human Resources manager, this PIP will allow you to improve the below situations and concerns about your roles and responsibilities:

Concern/Situation 1: You spent all your days in your office and did not make any environmental rounds.

Concern/Situation 2: You do not interact with Nursing or other staff members.

Concern/Situation 3: The following deficiencies have been identified in your nursing department from the annual NYSDOH survey: infection control, care planning, abuse and neglect, and medication administration.

Concern/Situation 4: The facility has received three complaint surveys related to serious patient incidents in the past month.

Concern/Situation 5: Your department’s overtime expenses exceeded $50,000 above the facility’s limit.

Performance Improvement Goals and Objectives

• Achieve daily and hourly environmental rounds and assess and do a situational analysis of the facility with full reports filled daily.
• Improved and reported interactions with the other nurses and employees within the facility.
• Improved interaction with the clients within the nursing home.
• Improved reporting on the safety of infection control, care planning, abuse and neglect, and medication administration.
• Reduction to net zero of severe patient incidents.
• Management of the nursing department’s budget and staff planning to reduce expenditure on overtime.

Action Items to Improve Work Behavior and Performance

For you to be able to achieve the above-listed goals and objectives of this PIP:

• You are expected to do daily and hourly environmental rounds and assess the situation within the facility. At the end of each day, you will expect to file a report with a full analysis of the facility’s situation.
• You are expected to interact daily with the nurses and other workers within the facility and make daily reports on the interactions and what issues you may have found. You will be required to commit a total of 3 hours a day to interact with the facility’s staff and other individuals within the facility.
• You are expected to interact with the clients within the nursing home and identify any issues with the care provided. A total of 2 hours are required to be committed to interacting with the clients, and a full report is filed with your assigned supervisor.
• You are expected to develop, implement, and report on progress on the safety of infection control, care planning, abuse and neglect management, and safety of medication administration.
• You are expected to develop and implement a program that will lead to a reduction to net zero of severe patient incidents within the next three months.
• You are expected to develop and implement a working duty rotation plan for all nurses to ensure the existing staff’s availability and efficiency to reduce overtime expenditure.

Resources and Support

As a leader, you are expected to develop an awareness of efficient resource allocation, especially intellectual capital, to improve performance and competitiveness (Alfiero et al., 2021). The facility will provide you with any resources needed for this PIP and throughout the PIP. Additionally, additional training, including outside resources and learning materials, will be available to support your improvement. You will also be trained in leadership skills to support your roles and improvement. A leader is expected to be strongly committed to achieving and facilitating breakthroughs in organizational performance (Ahn et al., 2021).

Expectations and Consequences

It is our best belief that you will be able to achieve the goals and objectives of this PIP and meet the improvement expectations. Failure to meet the expectations will lead to removal from your position, and we are awaiting committee confirmation for the full termination of your employment.

Action Plan with Timeline

You will be assessed every Friday at 4:30 PM with a full report expected at the end of the day for the next 90 days. Your progress will be fully reviewed on the fourth Friday of every month.

Employee’s Signature:

Supervisor’s Signature:

Management 1:

Management 2:

References

Ahn, C., Rundall, T. G., Shortell, S. M., Blodgett, J. C., & Reponen, E. (2021). Lean Management and Breakthrough Performance Improvement in Health Care. Quality Management in Health Care, 30(1), 6–12. https://doi.org/10.1097/QMH.0000000000000282

Alfiero, S., Brescia, V., & Bert, F. (2021). Intellectual capital-based performance improvement: a study in the healthcare sector. BMC Health Services Research 2021 21:1, 21(1), 1–15. https://doi.org/10.1186/S12913-021-06087-Y

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Performance Improvement Plan

Now that you have reviewed the notes provided and considered life experience, please respond to the following scenario: You are the CEO of a 300-bed Nursing Home in a small town in Westchester. Delores was hired 3 months ago as a Director of Nursing. The following situations have arisen since hire:
She stays in her office all day and doesn’t make environmental rounds.
She doesn’t interact with nursing staff or other staff members.
The nursing home completed an annual NYSDOH survey and received 12 deficiencies, which was way above the state average. Deficiencies included infection control, care planning, abuse and neglect, and medication administration.
The facility has received three complaint surveys related to serious patient incidents in the past month.
Overtime expenses have increased by $50,000.

You may want to terminate Delores. However, you have been advised by Human Resources to develop a performance improvement plan to assist her in becoming successful. In 3 months, you will re-evaluate her progress. Develop a carefully thought out performance improvement plan to address the issues identified as problematic.