Micp Panel And Program Evaluation Form
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MICP PANEL AND PROGRAM EVALUATION
MICP NO. _______________
MICP PANEL – CASE MANAGEMENT SKILLS:
CHAIR
PHYSICIAN
Knowledge of relevant substantive law
Ability to identify & analyze relevant issues
Judgment in application of relevant laws
Moving the proceeding in an appropriately expeditious manner
Maintaining proper control over the proceeding
Doing the necessary preparation for the case
Allowing adequate time for presentation of the case in light of existing
time constraints
Resourcefulness & common sense in resolving problems arising from
the proceeding
Skills in effecting compromise
Industriousness
MICP PANEL – COMPORTMENT:
CHAIR
PHYSICIAN
Attentiveness
Courtesy to participants
Compassion
Patience
Absence of arrogance
Absence of bias & prejudice based on race, sex, ethnicity, religion,
social class or other factor
Evenhanded treatment of parties
Evenhanded treatment of attorneys
EVALUATION OF MICP PROGRAM:
Documents received and processed by MICP program in a timely manner
Flexibility and responsiveness of MICP to the needs of the parties
MICP staff cooperation and assistance in case processing/logistics
MICP hearing facilities
ADDITIONAL COMMENTS AND SUGGESTIONS FOR MICP IMPROVEMENT:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
1 = Excellent
2 = Good
3 = Adequate
4 = Less than adequate
5 = Poor
N/A Not applicable
Please fax your completed evaluation to the MICP at 586-3097 or email to micp@dcca.hawaii.gov
2013 MICP Evaluation Form
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