EP - Exemplary Professional Practice

EP20: Describe and demonstrate that nurses at all levels routinely use self-appraisal performance review and peer review, including annual goal setting, for the assurance of competence and professional development.



  • Description and verifying evidence (copies of completed forms) of self-appraisal performance review, peer review, and annual goal setting for the CNO.


  • Description and verifying evidence of the completed self-appraisal performance review, peer review and annual goal setting is provided

The Medical Center is committed to fostering the success of its senior leaders and enhancing their effectiveness in a constructive way. Performance reviews are a means to support this commitment. This process supports both developmental and evaluative outcomes and supports the broad goals of leadership excellence and managerial accountability. Senior leadership at JCMC utilizes a goal-based performance appraisal tool. The goals are prioritized in order of importance and measurable outcomes are listed. These goals are based on the overall strategic plan of the hospital and center on financial growth, quality and safety, and engagement. These goals are approved and modified by the Chief Executive Officer, Joe Scott FACHE and evaluated the following year as to accomplishments/achievements. The employee values and report card are also part of the evaluation process, see example of 2011 performance appraisal for Rita Smith DNP, RN, NEA-BC (Appendix EP20-A). Peer reviews (Appendix EP20-B and EP20-C ) are required for senior management; although there is not a specific form to be completed, peers usually document their review via a letter to Joe Scott CEO. Annual goals are a requirement, please review (Appendix EP20-D) for recent goals for Ms. Smith.