Seminar 4 case reading
docx
keyboard_arrow_up
School
Birmingham City University *
*We aren’t endorsed by this school
Course
MKT 6004
Subject
Management
Date
Nov 24, 2024
Type
docx
Pages
13
Uploaded by MinisterFlowerGerbil29
CASE STUDY 7.1
PERFORMANCE APPRAISAL AT FEDERATION HOSPITAL
MICHelle BRoWn
CASE STUDY 7.1
Organisation background
1
Federation Hospital provides healthcare services, including
the full range of in-patient, day-case and out-patient
ser- vices. It employs 2,200 ‘whole time equivalent’ (WTE)
staff. The hospital is struggling to meet the growing
demand for medical services. With the aging of the
population and the hefty costs of attending a local
doctor, many patients are presenting with serious
conditions which are more costly and time consuming to
treat. The government, in response to pressures from the
general public, has instituted perfor- mance standards for
hospitals; for example, defining the amount of time it
should take for patients to be treated based on their
medical condition.
The history of performance appraisal at Federation Hospital
Performance appraisals at Federation Hospital were
first implemented for senior managers and professional
employees in 1998, principally as a development tool.
This system operated until 2005 when a new CEO was
appointed. The new (American) CEO believed that per-
formance appraisals play a key communication role in
an organisation. Both supervisors and employees
become aware of the objectives of the organisation and
work out how their job will assist with the achievement
of the organisations objectives. Further, the CEO was
keen to establish a ‘performance culture’ in the
organisation. According to the CEO:
Performance culture is at the heart of competitive
advantage in the twenty-first century. With a
performance culture we can derive the most from
the limited funds available for health care.
Further, the CEO as of the view that in order to be
effec- tive, appraisals had to influence pay increases
and had to apply to everyone in the organisation. Not all
members of the senior management team were
supportive of change to the appraisal system. Some
senior managers argued that it would create an
individualistic culture that would
1
This case study draws on experiences in many organisations.
be incompatible with the team-based work of the non- managerial staff in the hospital. Others managers wanted to see a developmentally focused system appraisal system. Medical technologies and health care practices are constantly evolving and the hospital needed to have a mechanism to help keep staff up to date.
The HR department at the hospital spent the next
18 months reviewing performance appraisal systems
in other organisations in order to fully understand the
options and their applicability to the hospital. The new
appraisal policy was circulated to all hospital staff
(managerial and non-managerial) in June 2007. Over
the next few months, supervisors were trained how to
complete the new online forms and given some tips on
how to provide negative feedback to their employees.
The revised appraisal policy at Federation Hospital
placed importance on setting measurable individual
objectives. The policy document outlines the principles
underpinning individual objective setting as following
the acronym ‘SMART’: objectives should be specific,
measurable, agreed/achievable, realistic and time-
bound, with the form of measurement for each objec-
tive to be agreed at the time that they are set.
The appraisal process
Under the new system, Federation Hospital perfor-
mance objectives cascade downward through the
organisation. The business plan is formulated by
December/January each year and reviews conducted
during February and March for senior managers in
which their performance objectives for the coming
year are established. The majority of appraisals for
non-managerial employees take place during April and
May. Non managerial employees often complain that:
My manager just passes down their objectives
onto me. I am a lab technician so there is not
much that I can do to affect the performance of
the hospital.
Another frequent complaint is the high level of
managerial staff turnover in the hospital because
199
of resignations, promotions, transfers and secondments.
CHAPTER 7 PERFORMANCE APPRAISAL
This level of managerial change makes it difficult for
the manager to develop a good understanding of the
work of the employee and effectively assess their
performance. High managerial turnover also inhibits the
development of a close working relationship between
manager and employee. Better quality reviews occur
when both parties know each other well leading to a
more open and useful discussion at the performance
review.
Coverage
Experience with the pre-2007 appraisal system demon-
strated that senior managers varied in their willingness
to undertake appraisals of their junior managers.
Senior managers would complain that:
… appraisals are time consuming and get in the
way of good relationships with my employees.
As a result only up to a third of those whose per-
formance was supposed to be assessed was actually
assessed. The post-2007 appraisal system built in
incentives for managers to undertake their appraisal
responsibilities: one of the performance objectives of
managers is to appraise their staff. The timely com-
pletion rates of appraisals is now near 100 per cent,
though as one HR official noted, the average rating
score for employees at Federation Hospital has also
increased from 3.1 to 3.9.
Documentation
The appraisal system rates employees on a 5-point
scale (1 = needs improvement; 5 = outstanding).
A copy of the form supplied by HR to all supervising
managers is provided in Table 7.1. Reactions among
managers to the form were mixed. Some managers felt
that the form was a good general framework to help
them assess their employee’s performance. Other
managers were very unclear about how they were to
evaluate their employees. As one manager noted,
‘what is an outstanding in conflict management?’
The appraisal meeting
Once a year the supervisor and the employee have a
face-to-face meeting to review progress towards the
performance goals set at the beginning of the evalua-
tion cycle and come up with a performance rating. The
younger employees regarded the appraisal meeting as
a good opportunity to find out how they were doing.
For the most part, younger employees were seen to be
Table 7.1 Appraisal form at Federation Hospital
Employee name: Employee ID: Supervisor:
Date of appraisal:
needs Improvemen
t
Avera
ge
Go
od
Very
Good
outstandi
ng
Effective conflict management skills
1
2
3
4
5
Meets punctuality standards
1
2
3
4
5
Quality focus
1
2
3
4
5
Completes work in a timely manner
1
2
3
4
5
Works accurately
1
2
3
4
5
Works well under pressure
1
2
3
4
5
Courteous to others
1
2
3
4
5
Follows instructions
1
2
3
4
5
Total score
Comments:
Employee signature:
200
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
CASE STUDY 7.1
more receptive to feedback so the managers tended
to spend more time with them. The more experienced
employees resented the appraisal meetings.
I have been doing my job for the last 15 years.
I do not need to have someone who has never
done the job tell me what to do.
Managers were required to find ‘areas for improve-
ment’ for each of their employees, which employees
interpreted as finding fault with their work.
I meet all of my performance objectives but my
supervisor is obsessed with having a tidy desk.
He dropped my performance rating from a 4 to a
3. It is insane. My job is to look after patients and
that in my mind trumps a tidy desk.
Table 7.2 provides a summary of the amount of time
spent in the appraisal meeting and shows that the
majority of employees reported interviews of at least
30 minutes, with 47 per cent having interviews of more
than an hour. Some managers like to keep the meet-
ings short as some employees regard the meeting as
an opportunity to review the manager’s performance:
last week I had to cut a meeting short as the
receptionist just went on and on about how hard
it is to work here with such old technology. She
said it was my fault she was not performing at an
acceptable level.
Table 7.3 provides a summary of the time the
supervisor and the employee spent talking during the
appraisal meeting. Judging from Table 7.3, appraisers
were not usually dominating the interviews: only 1 per
cent of employees reported that the manager talked
for more than 75 per cent of time during the appraisal
meeting. Almost half of the employees said that there
was equal time spent by them and their supervisor
talking during the appraisal meeting.
Table 7.4 sets out the extent to which various issues
were discussed during the appraisal meeting. The data
in table demonstrates that managers focus on the
extent to which work objectives have been met (63 per
cent say thoroughly discussed) and the establishment
of new objectives for the next evaluation cycle (65 per
cent say thoroughly discussed). Less attention is given to
the career development aspects: only 35 per cent say
their skills or competences were thoroughly discussed.
While many managers supported the idea of employee
development, the problems lie in the implementation.
The biggest problem was in finding the funds in the
training budget to pay for costly external courses.
Denying staff access to training was having a negative
impact on per- ceptions of the appraisal system.
In order for me to move up the management lad-
der of the hospital I need to do a Master’s degree.
When I asked my supervisor during my appraisal
meeting for support, she just smiled and said I
wish I could assist but there is just no money.
What is the point of the system if there is no
money?
In Table 7.5 employees provide data on what they
think was positive and negative in their supervisor
Table 7.2 How long did the appraisal interview last?
% of employees
Less than 30 minutes
11
Between 30 minutes and an hour
43
Between one and two hours
35
More than two hours
12
Table 7.3 During the appraisal interview, approximately what proportion of the time did you and the appraiser talk?
% of
employees
Mainly me (more than 75%)
13
Approximately 60% me
26
Approximately equal
48
Approximately 60% appraiser
12
Mainly the appraiser (more than 75%)
1
201
CHAPTER 7 PERFORMANCE APPRAISAL
Table 7.4 To what extent were the following issues covered in your appraisal?
3
2
1
Thoroug
hly Discuss
ed
Briefly
Discussed
not Discussed at
All
%
%
%
Your achievement of work objectives
63
32
5
Your future work objectives
65
31
4
Your personality or behaviour
17
42
42
Your skills or competencies
35
52
13
Your training and development needs
45
43
12
Your career aspirations and plans
30
43
27
Your pay or benefits
3
12
85
Your job difficulties
24
57
19
How you might improve your performance
16
40
44
How your supervisor might help you to improve your performance
15
45
40
Your personal or domestic circumstances
4
20
76
appraisal behaviours. Supervisors were seen to be tak-
ing the process seriously with 61 per cent of appraises
(strongly agreeing or agreeing) with the statement that
‘my supervisor takes my appraisals very seriously’.
About half of the appraisees (48 per cent) were ‘con-
fident that my supervisor is as objective as possible
when conducting appraisals’.
Some appraisees expressed concerns about the
qual- ity of the formal feedback they were receiving with
32 per cent of appraisees disagreeing or strongly
disagreeing with the statement that ‘my supervisor is
good at giving me feedback on my performance’. HR
was particularly concerned with the data that
suggested that a political element had entered into the
appraisal process. About a third of appraisees agreed
or strongly agreed that ‘I have to keep on good terms
with my supervisor in order to get a good appraisal
rating’ and that ‘supervisors use appraisals to reward
their favourites’.
Mid cycle reviews
The formal annual reviews are supported by ‘mid cycle
reviews’. The policy document sees these as a ‘crucial
element’ of the appraisal process. Regular informal
feed- back was intended to ensure that employees did
not get
into difficulties between formal appraisal
meetings. Infor- mal feedback could also reduce the
level of emotion at the appraisal interview as the rating
of the supervisor should come as ‘no surprise’ to the
employee. The data in Table 7.5 suggests that informal
feedback is not being reg- ularly provided with 40 per cent of
appraisees disagreeing or strongly disagreeing with the
statement that ‘I receive
202
regular informal feedback from my supervisor
regard- ing my progress towards agreed targets
and objectives.’ Employees with a more positive
experience point out that they have requested
and received, additional mid cycle review. They
saw mid cycle reviews as useful to fine-tune, and
often to replace, objectives that had been
rendered obsolete by a rapidly changing
organisational environ- ment. Mid cycle reviews
allowed for individual objectives to be kept in
line with changes in business strategy.
In addition to the lack of informal feedback
there was some concern about the quality of
the infor- mal feedback. For some employees,
the mid cycle reviews were rushed ‘corridor
and canteen chats’ that tended to focus on the
negatives (e.g. patient complaints) rather than
any positives (e.g. success- fully dealing with
difficult patient families). Some employees
worried that this would bias their perfor- mance
rating: their manager would recall only the
negatives at their formal appraisal meeting.
objective setting
The increased emphasis on work objectives and
meas- urability promoted by the CEO is
reflected in the issues covered in the appraisal
process, with employees reporting that the
achievement and planning of work objectives
were the most thoroughly discussed issues in
the appraisal process (see Table 7.4).
In Table 7.6 employees provide insights into
the qual- ity of the objective setting process.
Supervisors were doing a good job at setting
clear goals with 46 per cent agreeing or
strongly agreeing with the statement ‘the
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
CASE STUDY 7.1
Table 7.5 Perceived supervisor behaviour
5
4
3
2
1
Strongl
y
neith
er Agree nor
Strongly
Agree
(%)
Agree
(%)
Disagree
(%)
Disagree
(%)
Disagree
(%)
PoSITIVe ASPeCTS
My supervisor is good at giving me feedback on my performance.
7
38
22
25
8
I receive regular informal feedback from my supervisor regarding my progress towards agreed targets and objectives.
4
37
19
30
10
My supervisor takes my appraisals very seriously.
2
1
40
25
12
2
My supervisor takes my career aspirations very seriously.
5
38
36
17
4
I am confident that my supervisor is as objective as possible when conducting appraisals.
1
0
38
28
6
2
neGATIVe ASPeCTS
I have to keep on good
terms with my supervisor
in order to get a good
appraisal rating.
1
1
18
21
35
15
Supervisors use appraisals to reward their favourites.
1
3
15
16
30
26
I am not entirely happy about challenging my supervisor’s appraisal of my performance.
1
5
18
17
37
13
I found it difficult during my performance appraisal to talk freely with my supervisor about what I wanted to discuss.
9
22
14
39
16
goals that I am to achieve are clear’. It appears that
the goals were sometimes imposed on appraisees:
only 42 per cent agreed or strongly agreed that ‘my
supervisor allows me to help choose the goals that
I am to achieve’. Some managers argue that
employees are often not very good at setting objectives
but rather than impose objectives would provide copies
of their own objectives in advance of the review
process.
The imposition of objectives was a source of
irritation for both supervisors and employees. Pushing
employees could damage the relationship with an
employee. How- ever, the danger with imposing
objectives on employees reluctant to accept them was
that employees play ‘lip service’ to them and are not
committed to their achieve- ment. In some cases,
imposing objectives was seen as
203
necessary as employees often tried to game the system by setting easy objectives. As one employee notes:
What I’ve learnt, as time goes by, is you’ve got to
be careful, right at the outset, how you set your
objectives because you can be over optimistic,
unrealistic. There’s a danger of sitting down and
thinking of all the things you’d love to do, or ideally
should do, forgetting that you’ve got lots of con-
straints and you couldn’t in a month of Sundays
achieve it. So I think quite a few of us have learnt
there is a skill in setting objectives which are rea-
sonable and stand a chance of being achieved. I
think that that bit is probably more important than
anything else. There is nothing more demoralising
CHAPTER 7 PERFORMANCE APPRAISAL
Table 7.6 Objective setting process
5
4
3
2
1
Stron
gly
neith
er Agree nor
Strongly
Agree
%
Agree
%
Disagree
%
Disagree
%
Disagree
%
The goals that I am to achieve are clear.
8
38
22
24
8
The most important parts of
my job are emphasised in my performance appraisal.
3
31
38
21
7
The performance appraisal system helps me understand my personal weaknesses.
5
47
19
26
3
My supervisor allows me to help choose the goals that I am to achieve.
13
29
31
18
9
The performance appraisal system helps me to understand my job better.
3
29
27
32
9
The performance appraisal system gives me a good idea of how I am doing in my job.
6
39
25
24
6
than being measured against something which
you yourself have declared as being in need of
being done and finding that you couldn’t possibly
do it.
The connection between the objectives and an
employee’s jobs was not clear for 32 per cent of
employees. This seems to be due, in part, to the
increasing emphasis on teamwork in the hospital
but the emphasis on individual performance in the
appraisal process. The focus on identifying and mak-
ing improvements was clear to employees: 52 per cent
agreed or strongly agreed with the statement: ‘the per-
formance appraisal system helps me understand my
personal weaknesses’.
Accuracy of appraisal
HR encourages both supervisors and employees to
collect data on performance throughout the year and
then bring it along to the appraisal meeting.
I always try to get my facts right first before
approaching an employee, rather than going on
hearsay. Try to establish some substance
towards giving that feedback, and if they say it
was just hearsay, you’ve got evidence to back it
up.
Supervisors prefer to rely on the objectives set at the
beginning of the evaluation cycle.
204
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
I basically look at her performance
objectives and say well you agreed to this.
These sorts of performance indicators are
what we agreed on prior to this. This part
here I don’t think you’re meeting.
Employees bring along a variety of
documentation to the appraisal meeting.
I took lots of things along to the appraisal
meet- ing. one of my objectives was to set
up team objectives on the ward. I copied
examples of these objectives and took
them along. I showed reports I had done
on the empowerment of patients, and
gave her copies of patients’ meet- ings. I
used information to show that I had done
things. I used these things to prove to
her that I had achieved them.
In Table 7.7 employees provide an
assessment
of the accuracy of their
appraisal. A slim majority (51 per cent) agreed
or strongly agreed that ‘my per- formance
appraisal for this year represents a fair and
accurate picture of my job performance’. For
some employees the lack of accuracy may be
related to ambiguity about the ‘standards
used to evaluate my performance’ (42 per
cent disagreed or strongly disagreed). There
was also some uncertainty about what
constitutes good performance with 50 per
cent
CASE STUDY 7.1
Table 7.7 Measuring performance
5
4
3
2
1
Stron
gly
neith
er Agree nor
Strongly
Agree
%
Agree
%
Disagree
%
Disagree
%
Disagree
%
My performance appraisal for
this year represents a fair and accurate picture of my job performance.
7
44
23
21
5
My supervisor and I agree on
what equals good performance in my job.
6
44
29
15
6
I know the standards used to evaluate my performance.
2
29
27
35
7
agreeing or strongly agreeing with the statement:
‘My supervisor and I agree on what equals good
performance in my job.’
Supervisors often get frustrated with their employ-
ees when they refuse to take responsibility for their
performance.
A nurse I was apprising said, ‘This is why I cannot
do my job. This is why I cannot achieve this
objec- tive.’ And then trotted out a great list of
problems with the job.
One issue that is a source of frustration for employ-
ees is the absence of a publicly available summary of
the performance ratings. While each employees rating
is accessible to them via the staff intranet they have no
idea of how their rating fits with the overall distribution
of scores.
How I can make sense of my rating when I do not
know if this is high or low relative to other employ-
ees like me? And why can’t the hospital share
this information? What are they sacred of?
Performance payments
The CEO of Federation Hospital introduced
performance payments in 2007 as part of the new
appraisal system. An employee’s rating was used to
determine the percent increase in pay. As the budget
situation of the hospital is always tight, they are unable
to announce the amount of money associated with
each performance rating. Over the last few years the
average individual performance payment has been 3
per cent. For some employees the amounts available
are not worth the effort.
I worked my tail off last year. Stayed back late
and helped others when we were short staffed.
And after tax all I got was a couple of hundred
pounds for my efforts. never again am I going to
work so hard for so little.
For some of the longer serving members of Federation
Hospital there was no need for a financial incentive.
They enjoyed the work in the hospital and the patients.
I don’t need someone wielding a financial stick to
tell me how to do my job or push myself.
205
Questions
How effective is the appraisal system at Federation Hospital? Think about its impact on employee perfor- mance and retention.
Should Federation Hospital retain the current appraisal system? Why or why not?
What challenges do managers at Federation Hospital face when rating employee performance?
How effective are the managers at evaluating employee performance?
How would you rate the fit between the appraisal system, the objectives of the hospital and nature of the work undertaken?
Should the CEO of Federation Hospital include a 360-degree feedback system for all managers? Why or why not?
Would a feedforward system be appropriate for Federation Hospital?
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
Related Documents
Recommended textbooks for you
Purchasing and Supply Chain Management
Operations Management
ISBN:9781285869681
Author:Robert M. Monczka, Robert B. Handfield, Larry C. Giunipero, James L. Patterson
Publisher:Cengage Learning
Recommended textbooks for you
- Purchasing and Supply Chain ManagementOperations ManagementISBN:9781285869681Author:Robert M. Monczka, Robert B. Handfield, Larry C. Giunipero, James L. PattersonPublisher:Cengage Learning
Purchasing and Supply Chain Management
Operations Management
ISBN:9781285869681
Author:Robert M. Monczka, Robert B. Handfield, Larry C. Giunipero, James L. Patterson
Publisher:Cengage Learning