General Service Lacks Competence Needs Improvement Demonstrates Competence Standards 0 1 2 Documents additional Mother to child are not linked or linked Inconsistently correctly mother to child Correctly links mother to child information in STARS incorrectly Inconsistently determines and documents Determines and documents race and ethnicity appropriately Determines and documents race and race and ethnicity correctly correctly ethnicity incorrectly or does not ask client Inconsistently offers and discusses voter Offers and discusses voter registration and registration is not offered or discussed registration and documents correctly documents correctly voter registration and/or is not documented Occasionally schedules inappropriate Schedules appropriate appointments correctly appointments Appointments are routinely scheduled incorrectly/inappropriately Comments: Score: _____ Demonstrates skills in Knowledge of STARS functionality and the Demonstrates inconsistent knowledge of Demonstrates knowledge of STARS functionality providing services ability to navigate and document efficiently STARS functionality, the ability to navigate and the ability to navigate and document in STARS is limited and document efficiently in STARS efficiently in STARS Services are provided in a discriminatory Occasionally interrupts or corrects the client Provides services in a non-discriminatory manner manner when collecting information Collects information without interrupting or Information is collected interrupting or Leading or judgmental questions are asked on correcting the client correcting the client occasion Asks questions in a non-judgmental and Questions are asked in a non-judgmental Clarifying or follow-up questions are not manner and/or non-leading manner consistently used Ensures understanding by clarifying or asking Follow-up or clarifying questions are not Inconsistently notifies clients of next questions used to ensure understanding appointment what the client will need to Notifies clients of next appointment and identifies Clients are not notified of next appointment bring items the client will need to bring or of what to bring Confidentiality of client is not kept on Ensure confidentiality of client information Confidentiality of client information is not occasion Ensure program integrity (separation of duties, kept Program integrity is not consistently practiced serving relatives) Program integrity is not maintained (separation of duties, serving relatives) Comments: Score: _____ Demonstrates PCS skills Typically does not set the agenda Inconsistently sets the agenda Sets the agenda Permission is rarely Asks permission sometimes Asks permission Uses mostly closed-ended questions Uses some open-ended questions with the Uses an effective balance of open-ended and majority of being closed-ended closed-ended questions
General Service Standards Lacks Competence 0 Needs Improvement 1 Demonstrates Competence 2 Documents additional information in STARS appropriately Mother to child are not linked or linked incorrectly Determines and documents race and ethnicity incorrectly or does not ask client registration is not offered or discussed voter registration and/or is not documented correctly Appointments are routinely scheduled incorrectly/inappropriately Inconsistently correctly mother to child Inconsistently determines and documents race and ethnicity correctly Inconsistently offers and discusses voter registration and documents correctly Occasionally schedules inappropriate appointments Correctly links mother to child Determines and documents race and ethnicity correctly Offers and discusses voter registration and documents correctly Schedules appropriate appointments Score: _____ Comments: Demonstrates skills in providing services Knowledge of STARS functionality and the ability to navigate and document efficiently in STARS is limited Services are provided in a discriminatory manner Information is collected interrupting or correcting the client Questions are asked in a non-judgmental and/or non-leading manner Follow-up or clarifying questions are not used to ensure understanding Clients are not notified of next appointment or of what to bring Confidentiality of client information is not kept Program integrity is not maintained (separation of duties, serving relatives) Demonstrates inconsistent knowledge of STARS functionality, the ability to navigate and document efficiently in STARS Occasionally interrupts or corrects the client when collecting information Leading or judgmental questions are asked on occasion Clarifying or follow-up questions are not consistently used Inconsistently notifies clients of next appointment what the client will need to bring Confidentiality of client is not kept on occasion Program integrity is not consistently practiced Demonstrates knowledge of STARS functionality and the ability to navigate and document efficiently in STARS Provides services in a non-discriminatory manner Collects information without interrupting or correcting the client Asks questions in a non-judgmental and manner Ensures understanding by clarifying or asking questions Notifies clients of next appointment and identifies items the client will need to bring Ensure confidentiality of client information Ensure program integrity (separation of duties, serving relatives) Score: _____ Comments: Demonstrates PCS skills Typically does not set the agenda Permission is rarely Uses mostly closed-ended questions Inconsistently sets the agenda Asks permission sometimes Uses some open-ended questions with the majority of being closed-ended Sets the agenda Asks permission Uses an effective balance of open-ended and closed-ended questions
ITCA_2015Jan_Chp13.AttC_.WIC-Staff-Competency-Evaluation-Scoring-Sheet.fillable.docx