performance appraisal system

TOC o 1-3 h z u HYPERLINK l _Toc298325357 Coexistence of CQI and punitive reporting systems in the nursing homes on US PAGEREF _Toc298325357 h 2Despite extensive efforts for the removal of punitive reporting systems in the nursing homes in US, there are evidences which suggest that they continue to exist. In fact the front line staffs remains in the fear of serious repercussions both from the management as well as their peers even in the case of the smallest mistakes (Vogelsmeier Cawiezell, 2007, p.1). Pay for performance in medicine is an issue which has evolved lately as being a cost effective way of eradicating wastage in health care spending. There are instances in which positive benefits have been generated particularly in the preventive tests and screening procedures where the data