SEMO REGIONAL HOME CARE, LLC

Performance Improvement Plan (PIP)
Confidential

The purpose of this Performance Improvement Plan (PIP) is to define serious areas of concern, gaps in work performance, reiterate SEMO REGIONAL HOME CARE, LLC’S expectations, and allow the opportunity to demonstrate improvement and commitment.

Areas of Concern:

Observations, Previous Discussions or Counseling:

Step 1: Improvement Goals: These are the goals related to areas of concern to be improved and addressed:

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Step 2: Activity Goals: Listed below are activities that will help you reach each goal:

Goal # Activity How to Accomplish Start Date Projected Completion Date

Step 3: Resources: Listed below are resources available to complete Improvement activities (may include other people’s time or expertise, funds for training materials and activities, or time away from usual responsibilities.)

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Management Support: Listed below are ways in which your manager will support your Improvement activities.

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Step 4: Expectations: The following performance standards must be accomplished to demonstrate progress towards achievement of each Improvement goal:

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Step 5 Progress Checkpoints: The following schedule will be used to evaluate your progress in meeting your Improvement activities.

Goal # Activity Checkpoint Date Type of Follow-up
(memo/call/meeting) Progress Expected Notes

Follow-up Updates:
Date Scheduled Activity Conducted By Completion Date 30-day Update Memo [Supervisor/Manager] 45-day [or 60-day] Update Memo [Supervisor/Manager] 60-day [or 75, or 90 – Day] Status Memo [Supervisor/Manager]

Timeline for Improvement, Consequences & Expectations: