In June, 1998, Northern Hospital of Surry County implemented a new process for conducting employee evaluations organization-wide. This process, called a feedback process, was implemented as a result of extensive study of the needs of the organization, its employees, and the community it serves. The decisions to design, develop, pilot test, and implement an innovative form of evaluation were made in order to improve the congruence between the organization’s mission, vision, and values and the structures which communicate the mission, vision, and values to employees and which influence their understanding of and perspective concerning their work.

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