OTHERS Dalton Helm 360 Feedback - Leadership Engagement Survey - Ambulatory

OTHERS Dalton Helm 360 Feedback - Leader Engagement Survey

Please complete the below 360 Review - Leadership Engagement Survey for Dalton Helm. Your individual scores and feedback will be confidential, with the scores combined before the leader sees the results. Your answers are very important, to help leaders build on their strengths and improve where needed. Important: If you have less than 6 months experience working with this leader, please do not complete this survey.

Question Title

* 1. LEADING ONESELF: For each statement below, please select an answer that best reflects the leader's effectiveness as it applies to leading themselves, from extremely effective to not at all effective.

	Extremely Effective	Very Effective	Somewhat Effective	Not So effective	Not At All Effective	N/A Unable to fairly evaluate
Develops effective working relationships with people from other departments	Develops effective working relationships with people from other departments Extremely Effective	Develops effective working relationships with people from other departments Very Effective	Develops effective working relationships with people from other departments Somewhat Effective	Develops effective working relationships with people from other departments Not So effective	Develops effective working relationships with people from other departments Not At All Effective	Develops effective working relationships with people from other departments N/A Unable to fairly evaluate
Prepares and delivers effective communications clearly and succinctly (e.g. agendas, presentations, reports, project plans, etc.)	Prepares and delivers effective communications clearly and succinctly (e.g. agendas, presentations, reports, project plans, etc.) Extremely Effective	Prepares and delivers effective communications clearly and succinctly (e.g. agendas, presentations, reports, project plans, etc.) Very Effective	Prepares and delivers effective communications clearly and succinctly (e.g. agendas, presentations, reports, project plans, etc.) Somewhat Effective	Prepares and delivers effective communications clearly and succinctly (e.g. agendas, presentations, reports, project plans, etc.) Not So effective	Prepares and delivers effective communications clearly and succinctly (e.g. agendas, presentations, reports, project plans, etc.) Not At All Effective	Prepares and delivers effective communications clearly and succinctly (e.g. agendas, presentations, reports, project plans, etc.) N/A Unable to fairly evaluate
Delivers messages that are consistent, concise and can influence with impact...with actions and behaviors that align	Delivers messages that are consistent, concise and can influence with impact...with actions and behaviors that align Extremely Effective	Delivers messages that are consistent, concise and can influence with impact...with actions and behaviors that align Very Effective	Delivers messages that are consistent, concise and can influence with impact...with actions and behaviors that align Somewhat Effective	Delivers messages that are consistent, concise and can influence with impact...with actions and behaviors that align Not So effective	Delivers messages that are consistent, concise and can influence with impact...with actions and behaviors that align Not At All Effective	Delivers messages that are consistent, concise and can influence with impact...with actions and behaviors that align N/A Unable to fairly evaluate
Conveys authenticity and has the trust of others by demonstrating openness and honesty	Conveys authenticity and has the trust of others by demonstrating openness and honesty Extremely Effective	Conveys authenticity and has the trust of others by demonstrating openness and honesty Very Effective	Conveys authenticity and has the trust of others by demonstrating openness and honesty Somewhat Effective	Conveys authenticity and has the trust of others by demonstrating openness and honesty Not So effective	Conveys authenticity and has the trust of others by demonstrating openness and honesty Not At All Effective	Conveys authenticity and has the trust of others by demonstrating openness and honesty N/A Unable to fairly evaluate
Acts consistently in accordance with moral, ethical, professional, and organizational guidelines	Acts consistently in accordance with moral, ethical, professional, and organizational guidelines Extremely Effective	Acts consistently in accordance with moral, ethical, professional, and organizational guidelines Very Effective	Acts consistently in accordance with moral, ethical, professional, and organizational guidelines Somewhat Effective	Acts consistently in accordance with moral, ethical, professional, and organizational guidelines Not So effective	Acts consistently in accordance with moral, ethical, professional, and organizational guidelines Not At All Effective	Acts consistently in accordance with moral, ethical, professional, and organizational guidelines N/A Unable to fairly evaluate
Follows through on promises, keeps his/her word and delivers on established objectives	Follows through on promises, keeps his/her word and delivers on established objectives Extremely Effective	Follows through on promises, keeps his/her word and delivers on established objectives Very Effective	Follows through on promises, keeps his/her word and delivers on established objectives Somewhat Effective	Follows through on promises, keeps his/her word and delivers on established objectives Not So effective	Follows through on promises, keeps his/her word and delivers on established objectives Not At All Effective	Follows through on promises, keeps his/her word and delivers on established objectives N/A Unable to fairly evaluate

Please provide any general comments and growth recommendations

Question Title

* 2. LEADING TEAMS: For each statement below, please select an answer that best reflects the leader's effectiveness as it applies to leading teams, from extremely effective to not at all effective.

	Extremely Effective	Very Effective	Somewhat Effective	Not So Effective	Not At All Effective	N/A Unable to fairly evaluate
Assures personnel, space, furniture and equipment needs of the dept. are continually met	Assures personnel, space, furniture and equipment needs of the dept. are continually met Extremely Effective	Assures personnel, space, furniture and equipment needs of the dept. are continually met Very Effective	Assures personnel, space, furniture and equipment needs of the dept. are continually met Somewhat Effective	Assures personnel, space, furniture and equipment needs of the dept. are continually met Not So Effective	Assures personnel, space, furniture and equipment needs of the dept. are continually met Not At All Effective	Assures personnel, space, furniture and equipment needs of the dept. are continually met N/A Unable to fairly evaluate
Is present in the practice	Is present in the practice Extremely Effective	Is present in the practice Very Effective	Is present in the practice Somewhat Effective	Is present in the practice Not So Effective	Is present in the practice Not At All Effective	Is present in the practice N/A Unable to fairly evaluate
Encourages staff participation in professional organizations to further their development	Encourages staff participation in professional organizations to further their development Extremely Effective	Encourages staff participation in professional organizations to further their development Very Effective	Encourages staff participation in professional organizations to further their development Somewhat Effective	Encourages staff participation in professional organizations to further their development Not So Effective	Encourages staff participation in professional organizations to further their development Not At All Effective	Encourages staff participation in professional organizations to further their development N/A Unable to fairly evaluate
Acknowledges and celebrates team accomplishments	Acknowledges and celebrates team accomplishments Extremely Effective	Acknowledges and celebrates team accomplishments Very Effective	Acknowledges and celebrates team accomplishments Somewhat Effective	Acknowledges and celebrates team accomplishments Not So Effective	Acknowledges and celebrates team accomplishments Not At All Effective	Acknowledges and celebrates team accomplishments N/A Unable to fairly evaluate
Provides colleagues the opportunity to feel valued and included in your organization	Provides colleagues the opportunity to feel valued and included in your organization Extremely Effective	Provides colleagues the opportunity to feel valued and included in your organization Very Effective	Provides colleagues the opportunity to feel valued and included in your organization Somewhat Effective	Provides colleagues the opportunity to feel valued and included in your organization Not So Effective	Provides colleagues the opportunity to feel valued and included in your organization Not At All Effective	Provides colleagues the opportunity to feel valued and included in your organization N/A Unable to fairly evaluate
Treats people fairly and in a respectful manner	Treats people fairly and in a respectful manner Extremely Effective	Treats people fairly and in a respectful manner Very Effective	Treats people fairly and in a respectful manner Somewhat Effective	Treats people fairly and in a respectful manner Not So Effective	Treats people fairly and in a respectful manner Not At All Effective	Treats people fairly and in a respectful manner N/A Unable to fairly evaluate
Is an effective manager overall	Is an effective manager overall Extremely Effective	Is an effective manager overall Very Effective	Is an effective manager overall Somewhat Effective	Is an effective manager overall Not So Effective	Is an effective manager overall Not At All Effective	Is an effective manager overall N/A Unable to fairly evaluate
Uses a coaching management style rather than an authoritarian style	Uses a coaching management style rather than an authoritarian style Extremely Effective	Uses a coaching management style rather than an authoritarian style Very Effective	Uses a coaching management style rather than an authoritarian style Somewhat Effective	Uses a coaching management style rather than an authoritarian style Not So Effective	Uses a coaching management style rather than an authoritarian style Not At All Effective	Uses a coaching management style rather than an authoritarian style N/A Unable to fairly evaluate
Provides clear direction and defines priorities of the team	Provides clear direction and defines priorities of the team Extremely Effective	Provides clear direction and defines priorities of the team Very Effective	Provides clear direction and defines priorities of the team Somewhat Effective	Provides clear direction and defines priorities of the team Not So Effective	Provides clear direction and defines priorities of the team Not At All Effective	Provides clear direction and defines priorities of the team N/A Unable to fairly evaluate
Understands and communicates patient experience results to the team and encourages ongoing support for patient-centered care	Understands and communicates patient experience results to the team and encourages ongoing support for patient-centered care Extremely Effective	Understands and communicates patient experience results to the team and encourages ongoing support for patient-centered care Very Effective	Understands and communicates patient experience results to the team and encourages ongoing support for patient-centered care Somewhat Effective	Understands and communicates patient experience results to the team and encourages ongoing support for patient-centered care Not So Effective	Understands and communicates patient experience results to the team and encourages ongoing support for patient-centered care Not At All Effective	Understands and communicates patient experience results to the team and encourages ongoing support for patient-centered care N/A Unable to fairly evaluate

Question Title

* 3. LEADING FOR CHANGE: For each statement below, please select an answer that best reflects the leader's effectiveness as it applies to leading change, from extremely effective to not at all effective.

	Extremely Effective	Very Effective	Somewhat Effective	Not So Effective	Not At All Effective	N/A Unable to fairly evaluate
Facilitates front line staff engagement through daily huddles and standard work improvement	Facilitates front line staff engagement through daily huddles and standard work improvement Extremely Effective	Facilitates front line staff engagement through daily huddles and standard work improvement Very Effective	Facilitates front line staff engagement through daily huddles and standard work improvement Somewhat Effective	Facilitates front line staff engagement through daily huddles and standard work improvement Not So Effective	Facilitates front line staff engagement through daily huddles and standard work improvement Not At All Effective	Facilitates front line staff engagement through daily huddles and standard work improvement N/A Unable to fairly evaluate
Removes barriers to resistance and strives to understand and break down barriers to change	Removes barriers to resistance and strives to understand and break down barriers to change Extremely Effective	Removes barriers to resistance and strives to understand and break down barriers to change Very Effective	Removes barriers to resistance and strives to understand and break down barriers to change Somewhat Effective	Removes barriers to resistance and strives to understand and break down barriers to change Not So Effective	Removes barriers to resistance and strives to understand and break down barriers to change Not At All Effective	Removes barriers to resistance and strives to understand and break down barriers to change N/A Unable to fairly evaluate
Proposes improvements to existing processes to strengthen the customer or employee experience	Proposes improvements to existing processes to strengthen the customer or employee experience Extremely Effective	Proposes improvements to existing processes to strengthen the customer or employee experience Very Effective	Proposes improvements to existing processes to strengthen the customer or employee experience Somewhat Effective	Proposes improvements to existing processes to strengthen the customer or employee experience Not So Effective	Proposes improvements to existing processes to strengthen the customer or employee experience Not At All Effective	Proposes improvements to existing processes to strengthen the customer or employee experience N/A Unable to fairly evaluate
Makes timely and sound decisions based on sufficient information	Makes timely and sound decisions based on sufficient information Extremely Effective	Makes timely and sound decisions based on sufficient information Very Effective	Makes timely and sound decisions based on sufficient information Somewhat Effective	Makes timely and sound decisions based on sufficient information Not So Effective	Makes timely and sound decisions based on sufficient information Not At All Effective	Makes timely and sound decisions based on sufficient information N/A Unable to fairly evaluate
Creates business continuity plans and processes to limit risk	Creates business continuity plans and processes to limit risk Extremely Effective	Creates business continuity plans and processes to limit risk Very Effective	Creates business continuity plans and processes to limit risk Somewhat Effective	Creates business continuity plans and processes to limit risk Not So Effective	Creates business continuity plans and processes to limit risk Not At All Effective	Creates business continuity plans and processes to limit risk N/A Unable to fairly evaluate

Please provide any general comments and growth recommendations

Question Title

* 4. LEADING FOR RESULTS: For each statement below, please select an answer that best reflects the leader's effectiveness as it applies to leading for results, from extremely effective to not at all effective.

	Extremely Effective	Very Effective	Somewhat Effective	Not So Effective	Not At All Effective	N/A Unable to fairly evaluate
Objectively determines if current staff levels and distribution of staff are enough to ensure health, safety and other goals are met	Objectively determines if current staff levels and distribution of staff are enough to ensure health, safety and other goals are met Extremely Effective	Objectively determines if current staff levels and distribution of staff are enough to ensure health, safety and other goals are met Very Effective	Objectively determines if current staff levels and distribution of staff are enough to ensure health, safety and other goals are met Somewhat Effective	Objectively determines if current staff levels and distribution of staff are enough to ensure health, safety and other goals are met Not So Effective	Objectively determines if current staff levels and distribution of staff are enough to ensure health, safety and other goals are met Not At All Effective	Objectively determines if current staff levels and distribution of staff are enough to ensure health, safety and other goals are met N/A Unable to fairly evaluate
Understands department performance within key performance indicators and takes action to lead improvement efforts	Understands department performance within key performance indicators and takes action to lead improvement efforts Extremely Effective	Understands department performance within key performance indicators and takes action to lead improvement efforts Very Effective	Understands department performance within key performance indicators and takes action to lead improvement efforts Somewhat Effective	Understands department performance within key performance indicators and takes action to lead improvement efforts Not So Effective	Understands department performance within key performance indicators and takes action to lead improvement efforts Not At All Effective	Understands department performance within key performance indicators and takes action to lead improvement efforts N/A Unable to fairly evaluate
Actively supports the Dept. Chair and their designees for medical direction to develop and maintain business plans for the dept. and their work units	Actively supports the Dept. Chair and their designees for medical direction to develop and maintain business plans for the dept. and their work units Extremely Effective	Actively supports the Dept. Chair and their designees for medical direction to develop and maintain business plans for the dept. and their work units Very Effective	Actively supports the Dept. Chair and their designees for medical direction to develop and maintain business plans for the dept. and their work units Somewhat Effective	Actively supports the Dept. Chair and their designees for medical direction to develop and maintain business plans for the dept. and their work units Not So Effective	Actively supports the Dept. Chair and their designees for medical direction to develop and maintain business plans for the dept. and their work units Not At All Effective	Actively supports the Dept. Chair and their designees for medical direction to develop and maintain business plans for the dept. and their work units N/A Unable to fairly evaluate
Clarifies, focuses, and inspires the team on work associated with achieving the shared vision	Clarifies, focuses, and inspires the team on work associated with achieving the shared vision Extremely Effective	Clarifies, focuses, and inspires the team on work associated with achieving the shared vision Very Effective	Clarifies, focuses, and inspires the team on work associated with achieving the shared vision Somewhat Effective	Clarifies, focuses, and inspires the team on work associated with achieving the shared vision Not So Effective	Clarifies, focuses, and inspires the team on work associated with achieving the shared vision Not At All Effective	Clarifies, focuses, and inspires the team on work associated with achieving the shared vision N/A Unable to fairly evaluate
Maintains and applies a broad understanding of financial management principles to ensure decisions are fiscally sound and responsible	Maintains and applies a broad understanding of financial management principles to ensure decisions are fiscally sound and responsible Extremely Effective	Maintains and applies a broad understanding of financial management principles to ensure decisions are fiscally sound and responsible Very Effective	Maintains and applies a broad understanding of financial management principles to ensure decisions are fiscally sound and responsible Somewhat Effective	Maintains and applies a broad understanding of financial management principles to ensure decisions are fiscally sound and responsible Not So Effective	Maintains and applies a broad understanding of financial management principles to ensure decisions are fiscally sound and responsible Not At All Effective	Maintains and applies a broad understanding of financial management principles to ensure decisions are fiscally sound and responsible N/A Unable to fairly evaluate
Proactively assesses risks; minimizes distractions, ensures correct information and actions to avoid errors	Proactively assesses risks; minimizes distractions, ensures correct information and actions to avoid errors Extremely Effective	Proactively assesses risks; minimizes distractions, ensures correct information and actions to avoid errors Very Effective	Proactively assesses risks; minimizes distractions, ensures correct information and actions to avoid errors Somewhat Effective	Proactively assesses risks; minimizes distractions, ensures correct information and actions to avoid errors Not So Effective	Proactively assesses risks; minimizes distractions, ensures correct information and actions to avoid errors Not At All Effective	Proactively assesses risks; minimizes distractions, ensures correct information and actions to avoid errors N/A Unable to fairly evaluate
Determines strategic priorities by generating options to achieve long range goal or vision	Determines strategic priorities by generating options to achieve long range goal or vision Extremely Effective	Determines strategic priorities by generating options to achieve long range goal or vision Very Effective	Determines strategic priorities by generating options to achieve long range goal or vision Somewhat Effective	Determines strategic priorities by generating options to achieve long range goal or vision Not So Effective	Determines strategic priorities by generating options to achieve long range goal or vision Not At All Effective	Determines strategic priorities by generating options to achieve long range goal or vision N/A Unable to fairly evaluate

Please provide any general comments and growth recommendations