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Republic of the Philippines

LOCAL GOVERNMENT UNIT OF JAGNA


Poblacion, Jagna, Bohol

Strategic Performance Mangement System (SPMS)


INDIVIDUAL PERFORMANCE COMMITMENT and REVIEW (IPCR)
Individual Performance Commitment
I, DR. ARNOLD DASIO M. CAGULADA, Municipal Health Officer of the Municipality of Jagna, commit to deliver and agree to be rated on the attainment of the fol
indicated measures for the period January to June 2015.

Equivalent Weight of Ouput


Functions Strategic Core Support Total
Weight 30% 50% 20% 100% DR. ARNOLD DASI
Municipal Health Officer,

Ratin
Major Final Output (MFO)/ Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project (PAP) (Targets + Measures) (in Pesos) Accountable Accomplishments
(a) (b) (c) (d) (e) Q1

A. Strategic Priorities: (30%)


Improved quality of life of the people in the municipality
Improved maternal and child health in 1. Pre-natal /Post Natal /Deliveries
the community

2. Motivation and IEC for Family Planning

LGU Jagna SPMS Form 2a Page 1 of 28


Ratin
Major Final Output (MFO)/ Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project (PAP) (Targets + Measures) (in Pesos) Accountable Accomplishments
(a) (b) (c) (d) (e) Q1

LGU Jagna SPMS Form 2a Page 2 of 28


Ratin
Major Final Output (MFO)/ Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project (PAP) (Targets + Measures) (in Pesos) Accountable Accomplishments
(a) (b) (c) (d) (e) Q1

Sub-Total for 'A. Strategic Priorities: (30%)' = 0


B. Core Functions: (50%)
Efficient Management
Delivery of Health Services
Supervision of Personnel

Implementation of policies, plans


and programs to promote the
health of the people

Direct the sanitary inspection of all


business establishment

Conduct Health Information


Campaign

Coordination to other
government,NGOs,CSOs activities

LGU Jagna SPMS Form 2a Page 3 of 28


Ratin
Major Final Output (MFO)/ Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project (PAP) (Targets + Measures) (in Pesos) Accountable Accomplishments
(a) (b) (c) (d) (e) Q1

LGU Jagna SPMS Form 2a Page 4 of 28


Ratin
Major Final Output (MFO)/ Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project (PAP) (Targets + Measures) (in Pesos) Accountable Accomplishments
(a) (b) (c) (d) (e) Q1

Sub-Total for 'B. Core Functions: (50%)' = 0


C. Support Functions: (20%)

LGU Jagna SPMS Form 2a Page 5 of 28


Ratin
Major Final Output (MFO)/ Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project (PAP) (Targets + Measures) (in Pesos) Accountable Accomplishments
(a) (b) (c) (d) (e) Q1

1. Implementation of output-oriented 95% accuracy information contained in


performance evaluation system (SPMS, the reports (SPMS/PRAISE/PBB) submitted
PRAISE, PBB) on the prescribed due date

90% of OPCR with 95% accuracy were


reviewed, rated and forwaded to the PMT
on the prescribed due date

90% of the invitations to attend


2. Participation in Learning and trainings/seminars attended as good or
Development Activities (capability better
enhancement/trainings/seminars)

90% of the Flag Ceremonies during


3. Participation/Attendance in Flag Mondays present on time
Ceremony

90% of the Top Management Committee


4. Attendance to Top Management Meeting/Staff Meeting attended on the
Committtee Meeting/Staff Meeting whole duration of the meeting
5. Participation in Health and Wellness 75% of the LGU Initiated health and
Activities ( e.g. Hataw/Zumba) wellness activities attended

6. Participation to LGU Official Activities 75% of the LGU Initiated health and
(Independence Day, Rizal Day, wellness activities attended
Foundation Day, etc)

7. Participation/Attendance to Local 75% of the Local Special Bodies attended


Special Bodies Meetings on the whole duration of the meeting

LGU Jagna SPMS Form 2a Page 6 of 28


Ratin
Major Final Output (MFO)/ Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project (PAP) (Targets + Measures) (in Pesos) Accountable Accomplishments
(a) (b) (c) (d) (e) Q1

100% of the total cash advances


8. Liquidation of Cash Advances within the liquidated on the prescribed period
prescribe period (not later than next cash advance)

90% of the LGU Tree Planting/Coastal


Clean-up activities attended
9. Participation to Clean and Green
Program (eg. Tree Growing activities,
Operation Clean-up, etc)

0
GRAND TOTAL = 0
Legend: 1 - Quantity; 2 - Efficiency; 3 - Timeliness; 4 - Average
Note: Shaded portion shall be accomplished at the end of the rating or evaluation period using LGU Jagna SPMS Form 2b. However, an "x" mark may be written at the appropriate
particular success indicator shall be rated.

Reviewed and Approved:

I certify that I reviewed the aforestated performance commitment of the above named office, and I fully agreed to
assist the same towards the accomplishment of the said targets.

Date
ATTY. FORTUNATO R. ABRENILLA
Local Chief Executive

LGU Jagna SPMS Form 2a Page 7 of 28


LGU Jagna SPMS Form 2a
blic of the Philippines
RNMENT UNIT OF JAGNA
lacion, Jagna, Bohol

ce Mangement System (SPMS)


NCE COMMITMENT and REVIEW (IPCR)
rformance Commitment
of Jagna, commit to deliver and agree to be rated on the attainment of the following targets in accordance with the

DR. ARNOLD DASIO M. CAGULADA


Municipal Health Officer, Municipality of JAGNA

Rating
(f) Remarks
(g)
E 2
T 3
A 4

LGU Jagna SPMS Form 2a Page 8 of 28


Rating
(f) Remarks
(g)
E 2
T 3
A 4

LGU Jagna SPMS Form 2a Page 9 of 28


Rating
(f) Remarks
(g)
E 2
T 3
A 4

LGU Jagna SPMS Form 2a Page 10 of 28


Rating
(f) Remarks
(g)
E 2
T 3
A 4

LGU Jagna SPMS Form 2a Page 11 of 28


Rating
(f) Remarks
(g)
E 2
T 3
A 4

LGU Jagna SPMS Form 2a Page 12 of 28


Rating
(f) Remarks
(g)
E 2
T 3
A 4

LGU Jagna SPMS Form 2a Page 13 of 28


Rating
(f) Remarks
(g)
E 2
T 3
A 4

U Jagna SPMS Form 2b. However, an "x" mark may be written at the appropriate column to indicate where a

LGU Jagna SPMS Form 2a Page 14 of 28


Republic of the Philippines
LOCAL GOVERNMENT UNIT OF JAGNA
Poblacion, Jagna, Bohol

Strategic Performance Mangement System (SPMS)


INDIVIDUAL PERFORMANCE COMMITMENT and REVIEW (IPCR)
Individual Performance Review

Ratin
Major Final Output (MFO)/ Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project (PAP) (Targets + Measures) (in Pesos) Accountable Accomplishments
(a) (b) (c) (d) (e) Q1

A. Strategic Priorities: (30%)

CLSU SPMS Form 2b Page 15 of 28


Ratin
Major Final Output (MFO)/ Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project (PAP) (Targets + Measures) (in Pesos) Accountable Accomplishments
(a) (b) (c) (d) (e) Q1

Sub-Total for 'A. Strategic Priorities: (30%)' =


B. Core Functions: (50%)

CLSU SPMS Form 2b Page 16 of 28


Ratin
Major Final Output (MFO)/ Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project (PAP) (Targets + Measures) (in Pesos) Accountable Accomplishments
(a) (b) (c) (d) (e) Q1

CLSU SPMS Form 2b Page 17 of 28


Ratin
Major Final Output (MFO)/ Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project (PAP) (Targets + Measures) (in Pesos) Accountable Accomplishments
(a) (b) (c) (d) (e) Q1

CLSU SPMS Form 2b Page 18 of 28


Ratin
Major Final Output (MFO)/ Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project (PAP) (Targets + Measures) (in Pesos) Accountable Accomplishments
(a) (b) (c) (d) (e) Q1

Sub-Total for 'B. Core Functions: (50%)' =


C. Support Functions: (20%)
1. Implementation of output-oriented 95% accuracy information contained in
performance evaluation system (SPMS, the reports (SPMS/PRAISE/PBB) submitted
PRAISE, PBB) on the prescribed due date

CLSU SPMS Form 2b Page 19 of 28


Ratin
Major Final Output (MFO)/ Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project (PAP) (Targets + Measures) (in Pesos) Accountable Accomplishments
(a) (b) (c) (d) (e) Q1

90% of OPCR with 95% accuracy were


reviewed, rated and forwaded to the PMT
on the prescribed due date

90% of the invitations to attend


trainings/seminars attended as good or
2. Participation in Learning and better
Development Activities (capability
enhancement/trainings/seminars)

90% of the Flag Ceremonies during


Mondays present on time

3. Participation/Attendance in Flag
Ceremony

90% of the Top Management Committee


4. Attendance to Top Management Meeting/Staff Meeting attended on the
Committtee Meeting/Staff Meeting whole duration of the meeting

5. Participation in Health and Wellness 75% of the LGU Initiated health and
Activities ( e.g. Hataw/Zumba) wellness activities attended

6. Participation to LGU Official Activities 75% of the LGU Initiated health and
(Independence Day, Rizal Day, wellness activities attended
Foundation Day, etc)

7. Participation/Attendance to Local 75% of the Local Special Bodies attended


Special Bodies Meetings on the whole duration of the meeting

100% of the total cash advances


8. Liquidation of Cash Advances within the liquidated on the prescribed period
prescribe period (not later than next cash advance)

CLSU SPMS Form 2b Page 20 of 28


Ratin
Major Final Output (MFO)/ Success Indicators Allotted Budget Office/Individual Actual (f)
Program, Activity & Project (PAP) (Targets + Measures) (in Pesos) Accountable Accomplishments
(a) (b) (c) (d) (e) Q1

90% of the LGU Tree Planting/Coastal


Clean-up activities attended
9. Participation to Clean and Green
Program (eg. Tree Growing activities,
Operation Clean-up, etc)

GRAND TOTAL =
Legend: 1 - Quantity; 2 - Efficiency; 3 - Timeliness; 4 - Average
Note: All entries for Columns a, b, c, & d shall be the copied verbatim from the same columns of CLSU SPMS Form 2a

Comments and Recommendations for Development Purposes: (to be INDIVIDUAL PERFORMANCE RATING
accomplished by the immediate superior) Ratin
Category Weight (%)
Average
A. Strategic Priorities 30%
B. Core Functions 50%
C. Support Functions 20%
Total Overall Rating 100%
Final Weighted Rating
Adjectival Rating

Submitted by: Assessed and Reviewed by:

I certify that I have discussed my assesment of the perform


This is to certify the veracity of the information provided herein as the
the office through its head and this is deemed as his/her perso
actual commitments and accomplishments of the office I represent.
performance.

Date
DR. ARNOLD DASIO M. CAGULADA ATTY. FORTUNATO R. ABRENIL
Municipal Health Officer, Municipality of JAGNA Local Chief Executive

PERFORMANCE MANAGEMENT TEAM VALIDATION Final Rating:

Validated by: Attested by: Numerical =


Adjectival =

Date Date
ENGR. GERRY V. ARANETA MR. CATALINO B. BERRO MS. EFRENA A. BUENAFE
Planning Officer Member, Performance Management Team HRMO

CLSU SPMS Form 2b Page 21 of 28


LGU Jagna SPMS Form 2b
blic of the Philippines
RNMENT UNIT OF JAGNA
lacion, Jagna, Bohol

ce Mangement System (SPMS)


NCE COMMITMENT and REVIEW (IPCR)
Performance Review

Rating
(f) Remarks
(g)
E 2
T 3
A 4

CLSU SPMS Form 2b Page 22 of 28


Rating
(f) Remarks
(g)
E 2
T 3
A 4

CLSU SPMS Form 2b Page 23 of 28


Rating
(f) Remarks
(g)
E 2
T 3
A 4

CLSU SPMS Form 2b Page 24 of 28


Rating
(f) Remarks
(g)
E 2
T 3
A 4

CLSU SPMS Form 2b Page 25 of 28


Rating
(f) Remarks
(g)
E 2
T 3
A 4

CLSU SPMS Form 2b Page 26 of 28


Rating
(f) Remarks
(g)
E 2
T 3
A 4

CLSU SPMS Form 2b Page 27 of 28


Rating
(f) Remarks
(g)
E 2
T 3
A 4

SU SPMS Form 2a

INDIVIDUAL PERFORMANCE RATING RATING SCALE:


5- Outstanding
Rating 4- Very Satisfactory
3- Satisfactory
Average Weighted 2- Unsatisfactory
1- Poor

Assessed and Reviewed by:

I certify that I have discussed my assesment of the performance of


the office through its head and this is deemed as his/her personal
performance.

Date
ATTY. FORTUNATO R. ABRENILLA
Local Chief Executive

Date
MS. EFRENA A. BUENAFE
HRMO

CLSU SPMS Form 2b Page 28 of 28

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