In accordance with the NHMSFAP Human Resources accreditation standard, competency assessments for existing facility staff are to be performed annually and when new technology or new procedures are introduced. Competency assessments for new staff are to be performed prior to the completion of a probationary or orientation period. Defined materials that mirror the conditions of the working environment are to be used.
Performance reviews are based on the individual’s job responsibilities outlined in a job description and standards of practice for regulated health professionals. Performance reviews measure how well tasks and responsibilities are executed, whereas competency assessments focus on the skills, knowledge and abilities the individual possesses. The focus of staff competency assessments is quality improvement.
Competency assessments are to be conducted and reviewed by individuals with appropriate education, experience and qualifications. These individuals evaluate the knowledge, skills and abilities of staff to ensure they are proficient in performing their duties and are to be done in addition to performance reviews.
The results of competency assessments are documented and discussed with the staff member and, if needed, corrective action plans developed to address any knowledge or practice gaps. The medical director is responsible to ensure competency assessments are documented and filed for all regulated health professionals and certified staff.
The completion of annual staff competency assessments form part of the accreditation assessment and medical directors must ensure that staff consent is obtained in order for the assessment team to view these assessments.