Sample Chief Executive Officer Performance Appraisal Process And Assessment Form Page 16

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Assessment of CEO Personal Attributes and
Leadership Qualities (cont.)
Circle the Applicable Performance Rating and
Include Your Comments
Partnership Focus
1
2
3
4
5
N/A
•
Comments:
Seeks partnerships that help achieve the organization’s
mission and vision and improve community health
•
Is willing to cede some control for the sake of partnerships
that better local health and health care
•
Considers non-traditional partnerships that improve patient
value and continuity of care
CEO Self-Rating: [Insert CEO rating from self-evaluation here before giving to Board members]
CEO Comments: [Insert CEO comments from self-evaluation here before giving to Board members]
AHA 2017 Sample CEO Performance Appraisal Process and Assessment Form
16

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