One challenge in the ever-changing healthcare industry is maintaining a workforce that is able to work cost-effectively and produce a quality service. While not a substitute for the required Competency Assessment of laboratory testing personnel and consultants, the employee performance appraisal is a valuable component in your complete Quality Assurance Program. This OfficeGuide discusses the purposes and goals for performance reviews and provides some examples to assist you in the development of an effective appraisal process.