Process

The process of annual evaluation is a professional and contractual obligation. All parties are accountable for following this process and ensuring timely review. The evaluation process is supportive of professional growth and development in order to ensure quality patient care and optimal outcomes.

Upon receiving notification of the annual evaluation from Cornerstone via email, the employee has 24 days to complete the performance evaluation process (including peer feedback and self-evaluation). Cornerstone will assign the appropriate performance evaluation tool for the nurse's role, and instructions are provided throughout the electronic evaluation. Review the following before you begin:

• Code of Conduct Attestation
• Guidelines for Overall Performance Rating

Tools

Framework/RSAM
Evaluations

(includes Per Diem/
Temp nurses)

Need Help?

• Videos by Role: Unit AAs | Peers | Nurse Overview
  Nurse Tips & FAQs | Nurse Leader Overview | Nurse Tips & FAQs
• Step-by-Step Tip Sheets: Cornerstone Help Documentation Page
• Submit Cornerstone Performance Help Ticket

All paper evaluation/feedback forms have been archived. Request a copy:
NIS-Framework-RSAM-PerformanceEvalArchiveRequest@umich.edu

* May vary by 1 day per Cornerstone timing configuration

Annual Evaluation Tool:

• Clinical Nurse Specialist Annual Evaluation
• APRN Performance Evaluation Form

Peer Assessment Tool:

• APRN Feedback Review (Qualtrics)

Managers

• Designated Float Election Form - Permanent (6/2019)
• Designated Float Unit Selection
• Dispute Process Flowchart (2019)
• Dispute Step 1 Worksheet (MNA-UMPNC use)
• DRC Checklist
• Health RN RTW w/o Restrictions Process (6/2019)
• OA-OT greater than 10% in pay period and/or use of mandatory OT-OA report
• OT Trigger Worksheet and Definition (11/2019)
• Process for Reporting & Review of Unit-based Temporary Hours
  • Flowchart for Reporting & Review of Unit-Based Temporary Hours
  • Report Template for Reporting & Review of Unit-Based Temporary Hours
• Process for Transition from Annual PTO Process to Posting and Processing
  of Remaining PTO (3/2019)
• PSM Agenda and Forms Related to Use of PTO or Use of No-Pay
• PSM Notification Letter - Unscheduled Absences
• Response to Unsafe Practice Situation - Inpatient (6/2021)
• Response to Unsafe Practice Situation - Outpatient (6/2021)
• Signature Form - Decrease Below 20 hrs/week
• Substantial Differences (Last Reviewed 11/2017)
• Suggested Designated Float Units (1/2014)
• Trigger for Next PSM (2019)

Staff Nurses

• Designated Float Feedback (3/2019)
• Practice Situation, Ambulatory Care
• Practice Situation, Inpatient
• Paid Time Off (PTO) Donation Program
  • PTO Donation Guidelines
  • PTO Donation Donor Application
  • PTO Donation Recipient Application
• Paid Time Off (PTO) "Sell Back" (12/2019)
• Regular Employee Float Voucher

Holidays

• Contract Payroll Scenarios, Non-Thanksgiving 2022-2026
• Contract Payroll Scenarios, Thanksgiving 2022-2026
• Holiday Questions and Answers 2019