INDIVIDUAL PERFORMANCE COMMIT
I, LEO O. ALMORADO, ADMINISTRATIVE ASSISTANT III, of the Billing and Claims Department
for the period January 1 to June 30, 2019 .
LEO O. ALMORADO
ADMINISTRATIVE ASSISTANT III
Approved By:
SANTIAGO G. CABANGON, CPA, MBA
HEAD, BILLING AND CLAIMS DEPARTMENT
Output SUCCESS INDICATOR (Targets + Measure
Strategic Functions (40%)
PGS Compliance Attend to PGS Strategy Map and Deliverables Cascading not later than May 20
Core Functions (50%)
Prepare Report of Bills Rendered with no more than 2 revisions, submisssion o
Report of Bills Rendered
5th of the following month.
Disbursement Voucher for Refund of Prepare disbursement Voucher for Refund of Patients with no more than 2 revis
Patients within 3 days.
Support Functions (10%)
Submit 100% SPMS Documents, SALN, ISO-Related and other Documentary
Documentary Requirements Requirements as required, with no more than 2 revisions, within the prescribed
deadline.
Attend atleast 1 Formal/Non-formal Training, Seminar, Lecture, OJT,
Capacity Building of Staff
Coaching/Mentoring, etc., with submission of Training Report within 7 days.
RATING
Average
Function Percentage Distribution Rating per
Functions
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
I Certify that I discussed my assessment of the
performance with the emloyee
LEO O. ALMORADO SANTIAGO G. CABANGON, CPA,MBA
ADMINISTRATIVE ASSISTANT III Head, Billing and Claims Department
Legend: 1- Quality 2 -Efficiency 3 - Timeliness 4 - Average
DOH - SPMS Form 3
AL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
ms Department, commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measu
LEO O. ALMORADO Date: January 15, 2019
MINISTRATIVE ASSISTANT III
Date
AGO G. CABANGON, CPA, MBA
LLING AND CLAIMS DEPARTMENT
5 – Outstanding
4 – Very Satisfactory
3 – Satisfactory
2 - Unsatisfactory
1 - Poor
RATING
(Targets + Measure) Actual Accomplishment Q E T A
(1) (2) (3) (4)
bles Cascading not later than May 2019 N/A ✔ ✔
Average Rating (Strategic Functions)
more than 2 revisions, submisssion on the
✔ ✔ ✔
of Patients with no more than 2 revisions,
✔ ✔ ✔
Average Rating (Core Functions)
SO-Related and other Documentary
an 2 revisions, within the prescribed ✔ ✔ ✔
g, Seminar, Lecture, OJT,
N/A ✔ ✔
of Training Report within 7 days.
Average Rating (Support Functions)
Average Rating x % of
Distribution
Final Rating by: Conforme:
MARIVILLA L. OSORIO, CPA, MMHA MARIA RICA M. LUMAGUE, MD, MHA
Financial Management Officer II Chairman, Performance Management Team
DOH - SPMS Form 3
ce with the indicated measures
Date: January 15, 2019
Date
– Outstanding
– Very Satisfactory
– Satisfactory
- Unsatisfactory
- Poor
Remarks
Date