Sample Chief Executive Officer Performance Appraisal Process And Assessment Form (Page 19 of 22) in pdf

Sample Chief Executive Officer Performance Appraisal Process And Assessment Form Page 19

CEO Goals and Objectives

Please evaluate the CEO’s achievement of goals and objectives using the scale outlined below. Add comments you believe

provide context to your rating, or that would be helpful to the CEO in improving his or her performance.

5 – Exceeded My Expectations: The CEO’s achievement of this goal extended above and beyond. The CEO’s

performance in this goal area exceeds my expectations.

4 – Met All My Expectations: The CEO performed well in this area and met all of my expectations in achieving this goal.

3 – Met Most of My Expectations: The CEO primarily achieved this goal and met most of my expectations.

2 – Met Some of My Expectations: The CEO did not fully achieve this goal, and only met some of my expectations.

1 – Did Not Meet My Expectations: The CEO did not achieve this goal, did not perform well in this goal area, and did not

meet my expectations.

N/A – Not Applicable: Not applicable or was not been observed.

In the event that you rate the CEO’s performance 2 or below, please provide specific suggestions for needed

performance improvement.

E X A M P L E

Circle the Applicable Rating and

Include Your Comments

Goal: Improve HCAHPS Patient Survey Summary Star

N/A

Rating From 3 to 4 Stars

Objectives:

Comments:

•

Initiate organization-wide survey to identify staff and

physician ideas

•

Provide education on best practices in various linked

areas

•

Highlight successes

CEO Self-Rating: 5

CEO Comments: I am pleased to report that thanks to the hard work across our organization, we have

achieved a 5 star HCAHPS rating!

AHA 2017 Sample CEO Performance Appraisal Process and Assessment Form

Sample Chief Executive Officer Performance Appraisal Process And Assessment Form Page 19