Name of
employee: (place a mark in the
appropriate box) | Skills are
significantly below expected level for employee’s experience and knowledge. | Skills are not yet at
expected level for employee’s
experience and knowledge. | Skills are at expected
level for employee’s experience and knowledge. | N/A |
Evaluation skills
outcomes | | | | |
1. Conduct screening and prevention procedures. | | | 17 | |
2. Collect case history information and
integrate information from clients/patients and others. | | | 17 | |
3. Select and administer appropriate
evaluation procedures (behavioral observations, non-standardized/standardized
tests, and instrumental procedures. | | | 17 | |
4. Adapt evaluation procedures to meet
client/patient needs. | | | 17 | |
5. Interpret, integrate, and synthesize all
information to develop diagnoses and make appropriate recommendations for
intervention. | | 1 | 16 | |
6. Complete administrative and reporting functions
necessary to support evaluation. | | 1 | 16 | |
7. Refer clients/patients for appropriate
services. | | | 17 | |
Intervention skills
outcomes | | | | |
8. Develop setting-appropriate intervention
plans with measurable and achievable goals that meet client/patient needs. Collaborate
with clients/patients and relevant others in the planning process. | | 1 | 16 | |
9. Implement intervention plans (involve
clients/patients and relevant others in the intervention process). | | | 17 | |
10. Select or
develop and use appropriate materials and instrumentation for prevention and
intervention. | | | 17 | |
11. Measure and
evaluate clients’/patients’ performance and progress. | | | 17 | |
12. Modify
intervention plans, strategies, materials, or instrumentation as appropriate
to meet the needs of clients/patients. | | | 17 | |
13. Complete
administrative and reporting functions necessary to support intervention. | | | 17 | |
14. Identify and
refer clients/patients for services as appropriate. | | | 16 | 1 |
Interaction and
personal qualities skills outcomes | | | | |
15. Communicate
effectively, recognizing the needs, values, preferred mode of communication,
and cultural/linguistic background of the client/patient, family, caregivers,
and relevant others. | | 1 | 16 | |
16. Collaborate with
other professionals in case management. | | 1 | 16 | |
17. Provide
counseling regarding communication and swallowing disorders to
clients/patients, family, caregivers, and relevant others. | | 1 | 14 | 2 |
18. Adhere to the
ASHA Code of Ethics and behave professionally. | | | 17 | |